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<br />CITY OF ZEPJi I.K!S.L.....Lati.l:'J!i.1U"1.L:a: .IU:" r.....&.'-A.&. ....V..... <br />BUILDING DEPARTMENT 5335S!f8St, Z~h~hi11s J J'L 3~542 <br />813-780"'0020 J'AX:813-78()-0021 <br /> <br />DATE REC&IVED <br /> <br />'7 k7/oS <br /> <br />. <br /> <br />PHONE CONTACT FOR PEBMITTING <br /> <br />OWNER'S NAME <br /> <br />~ U'p-I f} 6 tJ Il~m <br />[I S- / ~6f/~ ~ Jgr- <br /> <br />PHONE <br /> <br />tJ$-"7r3-I}~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT (S) L/5'" BLOCK~f:hr-SL I <br />PARCEL ID it 3~- ZJ"". pI.. ({lJ So . o-uzJa .tJ<! J1> <br /> <br />SUBDIVISION ;}tre lIjllL.. <br /> <br />WORK PROPSEb: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE:l(SGL FAMILY DWELLING <br /> <br />o ADDITION <br /> <br />~ALTERATION <br />o DEMOLISH <br /> <br />{OBTAIN FROM PROPERTY. TAX NOTICEl <br />o REPAIR ~NSTALL <br /> <br />o MOVE <br /> <br />o COfl:1MERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUS!I'RIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />GOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />t:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br />~7/l. tJ1rlt.. d IvIMJrN /vi rAtrn4t; '1"1 fl"v(7)~ 6~lif <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ 3,;z" ~ <?l.j <br /> <br />PB~~~ " ,REgUJ!;~~J!:I:) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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: oaLOC:K <br /> <br />o FRAME <br /> <br />o STEEL. <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br />L --_.'~.~- -".. . . .-. -'~'.' "~~::J~~~ <br /> <br />- - <br /> <br />BUIIDER M - ~. }71 <br /> <br />SIGNATURE~~ . . '.~" ~ <br />"\ I' I' . <br /> <br />COMPANY <br /> <br />~ tJL.rltiIV <br />I <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 />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATECERT OR REG!ST # <br /> <br />MECHANICAL <br /> <br />********************************~********************************* <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br /> <br />COMPANY L.ti1k/r: ~ ph'"PIl2i' I f-/L. <br />STATE CERT OR REGIST * C GC I J '1 B ~ 11 <br /> <br />SIGNATURE <br />