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<br />CITY OF uJ!i.l:'t1:1~n~.Lt.LIi::) .r.l:l.EU~.&~.... ~Ao Ao _..._u_ ___. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br />DATE RECE IVED {,., ~I <br /> <br />PHONE GONTACT FOR PERMITTING Rc:J~{'e. ~ ') <br /> <br />OWNER'S NAME tJ. I L v ~ f; J't " (~ \ <br />JOB ADDRESS-S 7~:\ L:x,U .}6fud, <br /> <br />PHONE SC)- L)I'?J - 370 I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />o ADDITION <br /> <br />DALTERATION <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 />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~ J ~I"','or 1J(', V\ a l'rhlJ-". <br /> <br />BUILDING SIZE <br /> <br />;Y-Oo 'Ii <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ) <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. u~ <br /> <br />PERMITS REQUESTED <br /> <br />'11::~ <br /> <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />o GAS o ROOFING (] SPECIALTY 0 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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />t-/0 <br /> <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # CG L - () ~ jCaL( ( <br /> <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 i <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />