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<br />CITY OB' ~J!i.k't1:!.t\nJ.J.JJ.Ji:) r.l:l.nl..~""'&' &&... ...---..-----. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, F:[' 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />r--Is~FAr" I~C, <br />OWNER' S N~E t '-c'S 1~IE<:,nr~ cf 6,,? /ir;/AIi " [" <br />JOB ADDRESS,-~ 7L~ L/ B/J LL. D l,) 1). <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />,-gr5""2-." 2~"-/S?r <br /> <br />LEGAL DESCRIPTION: LOT (S) II-+- tiI:J BLOCK <br />PARCEL ID #: 11,;1("19..1 (l("O;{t(~O(f f' 20() <br />, <br /> <br />WORK PROPSED: dNEW CONSTRUCTION ~ADDITION <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />mLTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />I!rSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~OMMERCIAL <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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~781//~r If t;'y.18?tor ~~ <br />SQUARE FOOTAGE /' /~ CJ <br /> <br />Vi -.....1_' <br />HEIGHT c 3 {U ,,s ;. <br /> <br />DESCRIPTION OF WORK <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 />< <br /> <br />lAf-,l~ YNSli/~p SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />~ <br />Jrr <br /> <br />d BUILDING <br />~LECTRICAL <br />~ PLUMBING <br />~ECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />TYPE OF CONSTRUCTION: eJ' BLOCK ~RAME <br />FINISHED FLOOR ELEVATIONS /n,qTC:H ~}..IS Tl N {. <br /> <br />rtfSTEEL <br /> <br />o OTHER <br /> <br />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />__~"~ ~"..".~._".._ '_'_I_'_"__~~_____'_ -- -.- . .-tr=T~"'-'~"~"'-'--' -~.. '-Fl=~ _.=""'~"""'" <br />iJ1I1'~ j I I~L~ ,t ,t: t 1 1]1 ,I " ~ ~II ~ :1' J~1 1 r ~~'~ ~'r. J:~\lil,:~~tt~1S~rn;2~{~lbi~;iiJ~~n <br />I~"";''':~~L~~~_______~_ ____~_j_~-:. t ~ 11 // :!"I~!~'j~~:,f'fl~,I:)''1J'It;:/,,'jfdM''~J <br /> <br />BUILDER ~ <br />SIGNA;~-/t/-/ . ,--- <br /> <br />COMPANy,,5JaT/!/r'"/'IU {d1S 1?'"Jr71 ~L.D <br /> <br />STATE CERT OR REGIST # C~{} 06 /6~ ( <br /> <br />,/""",0. <br /> <br />ELECTRICI <br />SIGNATURE X <br /> <br /> <br />*************** *** <br /> <br />) <br /> <br />PLUMBER <br />SIGNATURE )( <br /> <br />" <br /> <br />********************************************** <br />. C--) ~.. <br />COMPAN'flO NA' /C.<.. ~V'\ ~ I AJ {; <br /> <br />STATE CERT OR REGIST #: (}!Lv. 0-:1 6 c ~f/ <br /> <br />MECHANICAL <br />SIGNATURE X <br /> <br />* * ** * ** *.~-~. *';'** **** * * ** * * * * * * * ** ** ** * * ** ** 7tt***** **** *!'***** * * ** * <br /> <br />/// ://.. COMPANY IJ..1'()/IJ(' 11/) t C <) [ p\..) C <br />/ :/ <br />/:-:::. -, STATE CERT OR REGIST #: CIlC-00 f'u6/' <br /> <br />.? <br /> <br /> <br />**************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />