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<br />CITY OF Z~!:'t1~~n.J.L1.L1U ... ...----- <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 1C5()fir~ B\trCtJ~-C>Ovt1(j <br />JOB ADDRESS 0J-l C\ -4-uf'ITl-Vl!'\ k 't)r <br />, <br /> <br />PHONE l-( S-3 - gd- ( 7 <br /> <br />LEGI\L DESCRIPTION: LOT (S) _l3c:() <br />tz:q <br /> <br />BLOCK ,p:) <br /> <br />SUBDIVISION J,(VeI o~!(J f'~-&.fe I><<. <br />, <br /> <br />PARCEL ID # <br /> <br />~ 03 <br /> <br />T "tC:> <br /> <br />IOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: 0 NEW 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 />l'QS fl t;, . '{{D 0\'/ <br />o DEMOLISH r 'f'L- <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 HOl" <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ~E... ~ror-- <br /> <br />BUILDING SIZE <br /> <br />RE:3IDENTIAL: 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 />3<:XP <br /> <br />HEIGHT <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLU~JBING <br />o ~IECHANICAL <br />o GAS 't1100FING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION <br /> <br />OF MECHANCIAL INSTALLATION If L( I 5.1 <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 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 />OTHER _rCDfl~;~ <br />SIGNATURE ~ <br /> <br />COMPANy-""R Or> ti DO ~ ll-t ~ Q)~l~i J:rl.-. <br />STATE CERT OR REGIST # CC(UC{2151 <br />