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<br />CITY OJ!" ~J!iJ!t1 I.~n.LJ..aJ..aO r.l:l.EU....~.&. ~...... ......---- - --.
<br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
<br />813-780-0020 FAX: 813-780-0021
<br />
<br />DATE RECE lVED
<br />
<br />PHONE GONTACT FOR PERMITTING (J7..J) f ~ ~ SrJ:fJtF /
<br />
<br />OWNER'S NAME All/Ii? L5t?c#/L / Ul1f/rK"/d~rTdCPHONE ('ttI'/fJ ?;J~J(:)~ /
<br />JOB ADDRESS SO;Jtf /~ ~ S /rt!'!'e ~
<br />LEGAL DESCRIPTION: LOT(S) .;13 BLOCK~/t)Od SUBDIVISION ai/tO
<br />PARCEL ID # //--dJt;-;>'/-()(2//..?...;J/ftJtJ-/.J;J3(/ (OBTAIN FROM PROPERTYTAX NOTICEl
<br />
<br />WORK PROPSED: ~W CONSTRUCTION
<br />DSIGN
<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 />PROPOSED USE: 0 SGL FAMILY DWELLING
<br />o COMMERCIAL
<br />
<br />OMULTI-FAMILY
<br />o INDUSTRIAL
<br />
<br />0# OF UNITS
<br />o SWIMMING POOL
<br />
<br />o MOBILE HOM
<br />~HER
<br />
<br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
<br />
<br />DESCRIPTION OF WORK lYe w
<br />. \
<br />BUILDING SIZE /K-K g..f)
<br />
<br />cI~r-q~hed
<br />
<br />c;::.a rz:;- t:tI ('0,
<br />/
<br />
<br />7~t2.
<br />
<br />HEIGHT
<br />
<br />l;l"
<br />
<br />SQUARE FOOTAGE
<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. /5 7 ,; c )~L)) C.
<br />
<br />5". ~ \) (l. f)-O~
<br />
<br />PERMITS REQUESTED
<br />
<br />r) BUILDING
<br />o ELECTRICAL
<br />o PLUMBING
<br />o MECHANICAL
<br />
<br />$ I~t pp.o .,PJ
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
<br />
<br />o Progress Energy 0
<br />
<br />W.R.E.C.
<br />
<br />o GAS
<br />
<br />o ROOFING
<br />
<br />o SPECIALTY
<br />
<br />VALUATION OF MECHANCIAL INSTALLATION
<br />o OTHER
<br />
<br />$
<br />
<br />TYPE OF CONSTRUCTION: 0 BLOCK ~RAME
<br />FINISHED FLOOR ELEVATIONS ~ ' I AMV"tI"
<br />
<br />o STEEL
<br />
<br />o OTHER
<br />
<br />IS PROJECT IN FLOOD ZONE AREAO YES ~
<br />
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<br />~~~.w..o._~..i.L~..1.-.-.~----------------------"'.~-~~~ J' C ~~
<br />
<br />BUILDER
<br />
<br />
<br />
<br />COMPANy.4~(?~~h-/ G.:>Mrh-VC/79;;?r ~<:.
<br />STATE CERT OR REGIST . C.t6c~~Oa 9 7'
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<br />******************************************************************
<br />
<br />ELECTRICIAN
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<br />COMPANY
<br />
<br />SIGNATURE
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<br />STATE CERT OR REGIST #
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<br />******************************************************************
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<br />P.LUMBER
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<br />COMPANY
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<br />SIGNATURE
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<br />STATE CERT OR REGIST #
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<br />******************************************************************
<br />
<br />MECHANICAL
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<br />COMPANY
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<br />SIGNATURE
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<br />STATE CERT OR REGIST #
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<br />*****************************************************************
<br />
<br />OTHER
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<br />COMPANY
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<br />SIGNATURE
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<br />STATE CERT OR REGIST #
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