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<br />CITY OF Z.l!i.l:'t1J.~n.J.J..u.../u ... ...----- <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1'- ~;L-C)3- <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME (Y\ A R C-1 A K:J ET <br />JOB ADDRESS . 5CJ;;; ) '1 ~ <br /> <br />U) J AJeJ-\ wTEf! PHONE r?J ~ -11tJ-.?Jf-<j/ <br />\-~ r 2t:P flYR Ii) L (S <br /> <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />PARCEL 10 # <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT <br />1) pr;I2A_ be- SC!?v7(!E <br /> <br />& HEALTH DEPARTMENT AP~ROVAL <br /> <br />PlflJ r: L <br /> <br />. . <br /> <br />fS-lJ <br /> <br />()CJY from 'oO~-h <br />,-u; <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />~11;~/) <br /> <br />-~ <br /> <br />o BUILDING <br />f)( ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ VALUATION OF TOTAL CONSTRUCTION <br />)tJO 70 / d 5""" AMP SERVICE PQ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />4. <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />()-. <br />COMPANY \L / I< 91? oh <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRIC I <br /> <br />************************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br /> <br />STGNATURE 1V(j'd <br /> <br />COMPANY <br /> <br />jUt ~C2 K exiu -{ <br /> <br />STATE CERT OR REGIST # <br />