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<br />CITY OF Z.ti~tu:~n.1..LI.Ll"" ... ------ <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />813-780-0020 FAX: 813-780-0021 j a 0. p r <br />DATE RECEIVED l,.._" 0- -" <br /> <br />PHONE GONTACT FOR PERMITTING tLfl- y.J'-- 6'/ <br /> <br />OWNER'S NAME O/'fi/J_c;~ phsSC?/Y? ,.(jA/c.A Cc)/VJ~ ~ <br />JOB ADDRESS ~~/,S- /J/p,5SP/YJ <;Jfi/fIlIfJ /l/r/'./. <br /> <br />PHONE <br /> <br />)fJr99lS- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL 10 # /S--,,?6-A/-O/JJl- oPcCC'" ()tl;f'~ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />)(HEPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY IJ# OF UNITS <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE <br />.0\ OTHER <br /> <br />HOt' <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br />;Aft <br /> <br />I' <br /> <br />RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />'I "f "- tP /-1-.-o-J'. 5''1/h'" t;)e :.::. (C'l c( 6 ~ << .J' ez- ) <br />/ " ,,/ <br />SQUARE FOOTAGE 5{000 HEIGHT <br /> <br />BUILDING SIZE <br /> <br />o BUILDING <br /> <br />$ <br /> <br />:;V:J3 ~o <br /> <br />VALUATION OF <br /> <br /> <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 />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS ~OOFING 0 SPECIALTY <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 />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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER 501.1/ C ~tJ~ ;/ COMPANY ~ell; /O()XVC. re- <br />SIG~~~.. ,"/ ' STATE CERT OR REGIST V';;:.- .5'"7 75.'\ <br />