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<br />CITY OF Z~!:'t1 ~~n.J..LI.L1U ... ------ <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 t.. << ~- <br />DATE RECEIVED f,-x (/~(?..J <br /> <br />PHONE CONTACT FOR PERMITTING ?f7'~ '1..56'/ <br /> <br />OWNER'S NAME <br /> <br />O/'~tVc,-e 5/0.>..50 >>1 <br />./ <br /> <br />~;9~.?l C'"i/v/cJ; <br />#hJ>;<;' /9 j) /" ' <br /> <br />PHONE <br /> <br />7gy7'7/.J <br /> <br />JOB ADDRESS 3 7 Jt?J - 6;< -~ t/ -.,td-' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />10BTATN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL ID # /S--de-,l./' 0/70 .-OIJcIO-ooL/o <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />Q(REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />~# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOI\I <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />:{/o -t <br /> <br />I? e.J' /<; <' L9 <br />, <br /> <br />5A'/~-/~ J <br />./ <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 5'3"00 <br /> <br />HEIGHT <br /> <br />o BUILDING <br /> <br />$ (~~g,3 <br /> <br />/ ~ <br />,,0 PERMITS REQUESTED ( ~.r~'.... I IL ~ /y/. <br />VALUATION OF TOTAL CONSTRUCTI~____~':"? <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 />o MECHANICAL <br />o GAS ft-ROOFING <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 <br /> <br />o 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 />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />c ~ ~ COMPANY)1''t/i' (// ".fOil/-;;7' G U <br /> <br />OTHER <br /> <br /> <br />.,/' <br /> <br /> <br />STATE CERT OR REGIST y<;::"CS'19>...(, <br />