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<br />CITY OF li!itiJ:'1t x.t(n~..........;;:) r.l:l.nl.-.&.&.... 6"&...... .......____ - __. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE CONTACT FOR PERMITTING R'/3~ /f///-09(fl <br />cel/ <br /> <br />OWNER'S NAME -----r-I<-. l f . <br />JOB ADDRESS 1- g S 3 <br /> <br />+ fY\u P J . L. <br />( IT."'- C;;;;-rR ee.T <br /> <br />C): ~ fY) t: <br /> <br />PHONE ~/..3~ 7ft-3JIf.;L <br /> <br />LEGAL DESCRIPTION: LOT(S) ) ...;- d- <br /> <br />BLOCK d I <br /> <br />SUBDIVISION 1Jt(l1Jt1 e ~ r;~Sr Al) i <br /> <br />PARCEL 10 # <br />WORK PROPSED: ONEW 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 />o SIGN <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 />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK x... ~ ,1 X d, tf TJ R i,)(,<xj l")(T. fA---;! AfWON <br />BUILDING SIZE SQUARE FOOTAGE 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 PERM~T 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 />'~UILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ dDO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />./ /' <br />ii: 44q ~ <br />(-* r I 4 .' <br />cc;2~~/.,/ <br /> <br />PERMITS REQUESTED <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />_~""""--r-~"""'7r~"'''''''~r-''~~~_'_'''''''M'CI- ------~--~--- ~ ~ - - - -~',....r----- -~~,.."..,.,..~...,.- ~-~~":-J '!;::':'""~--l~-nT."'~ <br />1,,' )1 ~,' ,: I , 1'1 , I! I, I L ' I ~ J.. :1 ,,! jl l'J-'jIr:,~' ~1{'llillli,,~,;r~~4'" <br /> <br />~~~~""-l.}~~~__~____ ___ __~~~~~~.. r", jt"l',:.":/,l~f l'~ r,1~_~B~'~<'~T'e~;pl <br /> <br /> <br />COMPANY-I- - C) W N f2 f2- <br />STATE CERT OR REGIST # <br /> <br />BUILDER <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 />MB:CHANlCAL <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 />