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<br />CITY OF uJ!iJ:'.t1 I.~nJ..LIJ.li:) rJ:l-EUy.&.&.... ~...... ......._u_ - --. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-?80-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />,IV) d. ) '" C1) P) <br />39jO-:Sl <br /> <br />Wa r n~r <br />~r-~ fjv~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PHONE ~J.:J 1 ~ .1. d... ~'Jt.r <br />;;Z,~ p hY"r 1\ ). ) I ~ r / . 1 ~ 5" ~ <br />SUBDIVISION <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID # <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />RR. r' 0 ()~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />;1 ~ S 1 <br /> <br />~BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />J7co <br /> <br />,,,-,, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />L--// <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <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 />~~"""'~~~j;'--;'~"~'~"~. '~I-~-~ ~~~---~-~-~ - ___T!~ -r',-~~7,-r-i'~-;-:7rr-~'-'-~;;~'!~-4;ryt"7:-!2J0ri':t;;ljri1Wr <br />I j"l ; 1 .. t j" I I : I ~ J' ,," 1- , ': ~ I 't 'L ,;.(l~ ~\ ;-,; J"t, <"~~ \:I.j~1~1';' t"iJ~l~~ <br />.......~~~____~.l-...-_________~____ ___ _~..J...:..C.~__~~ H ~..'j <br /> <br />BUILDER <br />SIGNA;~ O()~, V\\ ~ <br />. <br /> <br />COMPA-mj- ~_~-"V''('\.-v, , <br /> <br />STATE CERT OR REGIST ft <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 />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />