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<br />fLOoJerD <br />51bN <br /> <br />CITY OF ~J!i.l:'I1.x.t<.n~.LI.L1i:1 rJ:l.nl...&.....&. ~...... -...---- - --. <br />BUILDING DEPARTMENT 5335 8~H st, Zaphyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />t,- /10 - C/5- <br />, <br /> <br />OWNER'S NAME <br /> <br />PHONE GONTACT FOR PERMITTING ~~S- <br /> <br />W KIlN ~(.;( DevaoPMeJT' I NG PHONE ,~yJ$J. ~<2~-"5 <br />~q_4<3 G-kfJ- (1\1D. /D;;M~ <br />~f7 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 10 # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE! <br /> <br />WORK PROPSE~W_~RUCTIOH <br />~IGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />)idCOMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />O. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />BUILDING SIZ <br /> <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />PrtL Sl6N <br /> <br /> <br />HEIGHT <br /> <br />~!A <br /> <br />DESCRIPTION 0 <br /> <br />RESIDENTIAL: (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTI <br /> <br /> <br />ENERGY FORMS. <br /> <br />.~ <br />~ <br /> <br />o BUILDING <br /> <br />$ !,t;D D <br />~~AMP <br /> <br />PERMITS REQUESTED <br /> <br />o ELECTRICAL <br /> <br />SERVICE <br /> <br />o <br /> <br />Progress Energy <br /> <br />W.U.~;~I <br />. '4>4 ' <br /> <br />INSTALLl\TION <br /> <br />o <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />- <br /> <br />'" <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />\, <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"-~"~~----"---~""""'""'-'-'----~-----"----" -~, ..,."".".------- --"----."1--"""' -=~-c~~r"""" <br />lJ ~ j' I,ll:, I 1 III ,! 'l,r I: l '1 :I~(~ :'j{11)1I$l{4rF~~:I~T~.-il'r,:rt~;~p.;/~'1 <br />1 i' I I I', l I;. I I ~ -'tll" ~~ 1.r,~~i!1 !,;~",,;; <br />~~~J~~~L~_________~~ ___ _~---..L~~ lIt ,t II ~t _ !~lf j"'\ r <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />COMPAN <br /> <br />fPL~ ~l6N 'tJ(NG--- <br /> <br />OR REGIST # (J3C.A II fl'2- <br /> <br />SIGNATURE <br /> <br />STATE CERT <br />