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<br />CITY OJ!' L..t!it't1.l~n..L.u.uQ s; ~",,",''''~''' u_ - -- ---- - . <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 16 ~ oS' <br />813-780-0020 FAX: 813-780-0021 I{- 1 <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING 8t?:>-1sa-QSao <br /> <br />OWNER'S NAME ~\c)f) .....kytnf00 <br />JOB ADDRESS ~ 55 ~ CY\o...n aT: LCU'l <- <br />LEGAL DESCRIPTION: LOT (S) Q~'d BLOCK <br /> <br />PHONE 8t~-1B :'-1518 <br /> <br />SUBDIVISION <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br />OALTERATION 0 REPAIR ~ INSTALL <br />o DEMOLISH <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERC IAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM] <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK \f\~\-Ck.\' Se.u_H~....{ <br /> <br />B[JlLDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />v\ 1~? <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <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 AREAO YES 0 NO <br /> <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 />SIGNATURE ~f\~...\..--' ~.tJ~ <br /> <br />COMPANY\)e.(\{\'~ L .lD \ \\ \Cl.rn'S <br />STATE CERT OR REGIST It CJ:'CJ 14QS<Do~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br />