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<br />CITY OF ~J!iJ:'nx.t\n.J..LI.L1o r.l:l.EUY.&..&..&. ~...._..._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 GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />E(l j rvrJ ~ <br />(I'f! <br /> <br />, . . <br />o K Il'n L <br />'2 f( h-r R;\0~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION Lotfr <br />f <br />(OBTAIN FROM PROPERTY <br /> <br />'rcJil,L <br />j <br />TAX NOTICEl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID :It <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <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 />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 />,- f? <br />/ :./ r - (' .F F d- r~ ~. " lO' eF <br /> <br />I <br />SQUARE FOOTAGE 56 X V c I <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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. <br /> <br />$ <br /> <br />("~ <br />A l.(j. () <br />,/--. .- <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <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 />o MECHANICAL $ <br />o GAS &lROOFING <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <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 />__ ~'-""""'"'-'T=--,,...,._-"",,,_w""" "-'1- f -- .~-----~' - - ... .. ". ".""..--- - '""-'__C~" -~,.. --~- -'=~F= <br />;., 1M! i IJ, I I, I t 1 fl, r ~ I ',", ,,' OJ', "Jl;;l"nr,ln~ I" ~ ;~~'~';~I~~I~l~R~;(, <br />~,~Ll~......:-J-L______~~____~_.__ _~ _~_~~""'-'-~~__~ 't '~/I,]' r 1, I~~~nl:" rl~b~ <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 :It <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />f\ *.* ** ** * * ** ** * ** ** * * ** * * * * *** * *** ** * ******** *** ** * * * *** *. ** * *. *** ** * <br /> <br />'\ -. V l C . <br />OTHER .0[' F' \ 'Yl" COMPANY J 0 f I< '" 00(. I ']"') <br />1[' ~ ./ + t,-v ! ' <br />SIGNATURE [~I-- ,r. IQ-4 STATE CERT OR REGIST it eel Q ~~q;s~ <br />