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<br />CITY OF Z~!:'t1~~n.J..L.I""'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 ~\ KE LEN lPflJZ <br />- -tb <br />JOE ADDRESS ~ \~2> 5 .~+, <br /> <br />LEGAL DESCRIPTION: LOT(S) ()) I () <br /> <br />PARCEL 10 # ..s {l J 2G, f\ 2- I <br /> <br />PHONE 37fc., - [)(()(C'> <br /> <br />BLOCK I fo lj 0 <br /> <br />SUBDIVISION DD (O <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WOHK PROPSED: DNEW CONSTRUCTION <br /> <br />OADOITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />PROPOSED USE: ~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH r:!f~6 (\obV <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOl" <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />1.~ tz~~ <br /> <br />SQUARE FOOTAGE ~ :l.CJD <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <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 />PERMITS REQUESTED <br /> <br />k YI~1) <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o HECHANICAL $ <br />o GAS ~ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OT HER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />COMPANY <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br /> <br />1'=~~ COMPANY ~ 1i00,\"1 \Zooh"'l W'-' <br />STATE CERT OR REGIST it C [ , 0 t-f c 9'5'1 <br /> <br />OTHER <br /> <br />SIGNATURE <br />