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<br />CITY OF Z~!:'t1 :t~n.J.L1L1U ... ------ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />a' j.}/. rI <br />oj 2~!J1tl/S /7/.1 , PHONE 71.3 - 00) t{ <br />ztiryL'IA /9e.... <br />LEGAL DESCRIPTION: LOT (S) Ie; q 20 BLOCK /~-S-2..... SUBDIVISION <br />PARCEL ID * 1/ 'C 2!: - 2/- t:l7/0 - /$";; - "/917 <br /> <br />,& p fj,~rLi <br />/ <br />h' It:"- /l1/P <br /> <br />63~~2- <br /> <br />OWNER'S NAME /}/Sr <br />JOB ADDRESS. 3 8~ ~I <br /> <br />IOBTATN FROM PROPERTY TAX NOTTCE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />OF WORK 9/>,<,I.'.,D C<),'yt. t 30 V'''''" ;;4A~.J ci!.", <br />o v <br />SJOOl) <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />SQUARE FOOTAGE <br /> <br />C;#(JrP, <br />, <br />HEIGHT ;;?;? <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />/ ct, (Joe". 0"::"-' <br /> <br />.... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCK <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />OTHER 4'~d!2'HWWHWW"~~~::3%J;Z'::'P;;'4c <br /> <br />SIGNATURE ' STATE CERT OR REGIST # lc (J'Cl2</1) J9 <br />