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<br />J ' <br /> <br />CITY OF :6J!iJ:'11 :!.Kn.L~~i:) r.l:anLw.&..&.... ~...... __....u_ _ __. <br />BUILDING DEPARTMENT 5335 8u st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />OWNER'S NAME '~o..(): r2 eLl.V>...., <br />JOB ADDRESS 3cf~;)~ 'J..rJ. Av~ 2~~1xlJtJ <br /> <br />PHONE CONTACT FOR <br /> <br />(,-'dy-os- <br />DATE RECEIVED <br />PERMITTING(E(3) 7/tf- 57?,! <br /> <br />PHONE a(~ i(c{-S~77d <br />s3sY52/ <br /> <br />FL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br /> <br />D ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />~ REPAIR <br /> <br />D INSTALL <br /> <br />DSIGN <br /> <br />D MOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HOM <br /> <br />_ .._.__-- ______ D RESTAURANT & <br /> <br />~CRIPTION OF ~~ {UfV\b,'- <br />~17......j ~6 1,./ i.J II r <br />BUILDING SIZE ~ 1'--l7 SQUARE FOOTAGE <br /> <br /> <br />PPROVAL <br />oPfJe..'Z r;1!4/C'/ <br />/:2 '3"/ SJf-rI- HEIGHT 8 T C/ <br /> <br /> <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 />,PFtL (~AA)V\N'L(i ~\..... C)~'L ,4;if) Cii ~ i T~ (w yfLcl/::v-l' <br /> <br />+ PERMITS REQUESTED <br /> <br />G~O -7@VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ BUILDING <br />()?f ELECTRI CAL <br />~' PLUMBING <br /> <br />$ <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R,E,C, <br /> <br />D 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:)i BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN ~ <br />SIGNATURE f _ - .- <br /> <br />****************************************************************** <br />- ':::;;, <br />75\~ <br /> <br />COMPANY <br /> <br />Ov0)~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER ~ COMPANY D~ <br /> <br />SIGNATURE~ ~ .. STATE CERT OR REGIST i <br />/ ****************************************************************** <br /> <br />.- <br />'-0""=> <br /> <br />~:::--....) <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />