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<br />CITY OF ZJ:!;.I:'t1:1~n.J..-1.u"''''' ... ...----- <br />BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 <br />613-760-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />5-5,0') <br /> <br />OSIGN <br /> <br />[JADDITION <br />o MOVE <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />[J REPAIR <br /> <br />[] INSTALL <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOlY <br />'OqTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL <br />Pool.E(\Q,~O.sUr~ <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL' ATTACH (2) PLOT PLANS' 121 SETS OF BUILDING PLANS · (I) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENER;&Y . . RMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTIO, L:ff\ ~~ <br /> <br />. -fUr fj.5)~. <br />PERMITS REQUESTED <br /> <br />SQUARE FOOTAGE <br /> <br />'750 rz:L <br /> <br />HEIGHT <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLA <br /> <br /> <br />// <br />/ <br /> <br />(w.R.E.c.')~ <br />IoA~ <br /> <br />pi BUILDING <br />[J ELECTRICAL <br />[J PLUMBING <br />[] MECHANICAL <br /> <br />$S75[). DU <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~~ ~.. <br /> <br />COMPANY ke.. d--h 1<~1> UeJ ConsJ L r.r-.Q. <br /> <br /> <br />STATE CERT OR REGIST . CflQ.()I../~ 4 q R' <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 />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />COMPANY <br /> <br />MECHANICAL <br /> <br />STATE CERT OR REG 1ST # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />