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<br />CITY OF ~J!i~I1.l,t<.l1J..LI~Q r.l:lru.....A.~ ~............_u____. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />? /r Ids <br /> <br />, PHONE GONTACT FOR PERMITTING 'iS15-7~.).-Dlo 7J- <br />/rv'\ftjV~S ~ CJ -eC'-n.e- r:- .s 11Mll:-'V Ie a Ii i-L,5 <br /> <br />OWNER'S NAME ::IO-vvu.- <;. l+, 6 ~ V\...~)~e-V\.>--. (C6lAC -, T-e(~~, ~ j PHONE Cj<f-I-l!.f Y-();J- 70 <br /> <br />JOB ADDRESS 7 d-. ~ d Ga.! I .150 /A-(e vo-vJ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID # ""3 S- -2 ~ - 2./- DOlO -0 ~ fOO- OdOO <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEI <br /> <br />WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR Tl INSTALL <br /> ptSIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOM <br /> ~ COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~<i. ~\\ ~WV\.', "'--) IS's \A.. +e ..(;.,0 ~-+ ~ Lu \. ve <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. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />-....\ ~/f\ ~ ~ <br />~. <br />I <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 /> <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 AREAD YES 0 NO <br /> <br />_r.:ifr>I!:!~ l7i!....r.....r-::...'f',.,"'I.-~ I I ''"7~.......1 ;"'r;~:;~~~-~- 'r-r~;"'I~ !-~ -~----~- - - ~ ~~-VI'1I--~,t"-r0-F ~-t --7-7;-r-'- ~~JJ~-::;~:;,'~il~iPi~1t~(~~~~! <br />t i I I' I ,111,1'1 ' I Ii ;,1 I ~J , I; ~ ,~ ,~~;I ~/r.I-, h(JiJ IT~::a-l.!lil;".t'l!ttit].::;~~ <br />~, I'! I j t j J I , nil : " j,. -" ! I Ii' '-I I' I 'I f" { I ~, II ) ~ p. Ir'~ ~4 r~ l-!ij: <br />.:...l..~.;.;.o..l,.,-~~.L...-.______~_____ --- --~-"-'-"-...........~~~ ,~ ~ , <br /> <br />SIGNATURE <br /> <br />'.4.1- 2-~ <br /> <br />'-0 <br />5l.'-' <br /> <br />COMPANY ~ t3V"v--.Jc of- J1SS0c., ~. <br />STATE CERT OR REGIST fl: C6C 6l(3(,L;Ld- <br /> <br />BUILDER <br /> <br /> <br />****************************************************************** <br />.-> <br />:2 ,.''> <br />J ') ; COMPANY ~~-+-..... ~ E_l ~ c. 'Iv--<..-. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />97 <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 />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />