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<br />CITY OF Z~!:'t1:t~n.J.~~u ...----- <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME L LA jJ I-~ /} <br />JOB ADDRESS,S- / 30 6-4/( ISf (/J <br /> <br />PHONE <br /> <br />2-ePAf-yj, Iff, F /. <br />, <br /> <br />) J S-C/Cl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />IOBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />PARCEL ID # <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />~EPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <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 HOfll <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK l<eci_Q..~ a~ f2e oJ;:!) i/'.. frlPlla'.tce /Vo'Z-Z: Ie ~CJver;]:ff'~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />c-p~n{! <br />f<! -Q. V " V\. <br /> <br />7~ 7-6<g7- J~~S- <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br /> AMP SERVICE 0 Progress Energy 0 W.R.E,C. <br /> 11 GI (~1 <br />$ VALUATION OF MECHANCIAL INSTALLATION <br />o SPECIALTY 0 OTHER <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~ECHANICAL <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 />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />******************************************************;Z;********* <br />MECHANICAL ~ / COMPANY F"r,e.. S y, Vl(S ,'^C-. <br /> <br />SIGNATURE ~~ ~ ~/ . STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />