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<br />CITY OE ~.I!i.l:'I1:1~n.J..1.I.LIi:I r.l:l.EU.,i.....&. ~~ ~...__u____. <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />5~)-J.t911 <br /> <br />OWNER'S NAME <br /> <br />Ex-..eM. ill P 6t SS <br />tf ft; ;? 5 vV /'st hVt' tt D-r~ <br /> <br />PHONE <br /> <br />1~;i -q S 00 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(5 - J- ft; - A} - 0 J ~o - OOWO - 0 110 <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <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 />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 /> <br />chtunfY' ~Lt Aft S~S.J-.e,m <br /> <br />SQUARE FOOTAGE <br /> <br />BUILDING SIZE <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />M'"MECHANICAL <br /> <br />$ <br /> <br />3 t.f 00. oD <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 />__~=_.~__""_____~"r~' ,.,...,.,__"_r""~'""___ ~_"_I_~_ ~----~~~- - --~- -,,- _______--.----r--. -~'.7 -Ti=----=~"..~ <br />h 11 II: ,it, III ! I .' I ~ ~,.' 1 .J', ~~" ,~' ;'~~i~II,!~'lqiFL~"llf;~..~~r.Y}.pj;rl'~~~i~ <br />, 1 I " ' I I " 'I ~ , j , I)' t . ~ I I l' I II J" i ,,>I J j. "W,i <br />~~~~.=l.._~~________~____ ___ ___~~"""'~~~__ 1 ',I.f", 1,_ F.1r. !"r~"l, <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <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 />SIGNATURE <br /> <br />* *** * * * * *** ** * * ** *** * ** * * * * * * * ** * * *** * *****tth.**"!!**t **** t* **}t* **.* I <br />. ! COMPANY U'U'lS A-t C uWlfatl \ <br />f\b. ,... ~ i <br />dVWYL-tt.. . STATE CERT OR REGIST t CAl.v5 & 5'7. <br /> <br /> <br />**********************************************************k****** VI <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />