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<br />CITY OF ~J!iJ:'I1.l.Mn.1..1.I.1.IQ r.l:l.EU9.&.....&. &&... ..............------. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />~ .- If--or <br /> <br />PHONE GONTACT <br />;> A T7'Z I 0'" / c:.. jC( ~ E v....../'C/P"'Zk J' <br />/'"'fEe- /fQ;~r<... CY~ <br />OWNER'S NAME.{) CY~ r v( A ~ '-"'/e<~rT ~ <br /> <br />JOB ADDRESS ...:) ?,O $0 /.5 ~ ~ <br /> <br />FOR PERMITTING T ;J..7Z-;2 'f.J -<f r/ tJ <br />:tJnU ' <br />PHONE I-g-I J -;72-?->>- d'-iZ-S-;z. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # /(-;1-" -dL (- ~( 0-00 ~~ '?'R~ ~~ERTY TAX NOTICEl <br />. . <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 7:E '7 ~o.--~ n-;"f(7" ~ ---s::;-- 5.E- rr- c-r" /'" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, J ~ <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ ~ <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTIO~~~~ ,/~;; <br /> <br /> <br />PERMITS REQUESTED ~ ' r&~~ <br /> <br />~UILDIilG <br />o ELECTRICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <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 AREAO YES 0 NO <br /> <br />_. .~ - --~"~~1"-I-~~ ,.---,,.,-- -'~ ,- i ----- --------------- - -.. -- -~7----- --- ------,--- ,-,";",';'- --'7'-;; -1=1E'~- <br />;~J.!l:Ub!\{ll:,; I' 1'1 11'11 'II ,11~tljl ' I IJ {I r I I, I ~""""~ "''l'JI~Lr~tb~,r,1~fl~rJfjl~~1'4"U~!:~fu!t' <br />11'"1/11 '; 11 k l 'It~ : I I ' ( 1!1,~' II ''if < I ~: I', \tj" 1,;';1, ,H~:)l~~j 1,"t:T'..~~t~tJ:;.i[)~~ <br />___"",~.........._.~~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 />****************************************************************** <br /> <br />MI!lCHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />. ******************************************17********************** c. ~~/~~ <br />~ f~(C2-'Tf~ AAE~ <br />OTHER l COMPANY - - <br /> <br />SIGNATUR ~~STATE CERT' OR REGIST t <br />