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<br />C~TX U~ ~g~~.------ <br />BUILDING DEPARTMENT 5335 B~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECEIVED <br /> <br />(l-:;t/-os <br /> <br />PHONE GONTACT FOR PERMITTING t3\~-~a ..g5~O <br /> <br />OWNER'S NAt-'JEb~J <br />JOB ADDRESS 'le, ~~ <br /> <br />()' tyOd'1iS <br />c=1aJ \. '~\~. <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />IOBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOt-' <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK ~-\\\1\~ \(\ 90S \ \\\ e...... <br />BUILDING SIZE 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 'Oft ? ~ viI'_/Ju{. <br /> <br />. w {yrrJ <br />PERMITS REQUESTED .~ ~~ <br /> <br />VALIJATION OF TOTAL CONSTRUCTIJ ' J <br /> <br />$ <br /> <br />o BUILDING <br /> <br />o ELECTRICAL <br />. <br /> <br />f/J.. PLUHBING <br />o MECHANICAL <br />'Ix GAS 0 ROOFING <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 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 />~ITI"!"~I 'T"-'-~'"'T'"""......,.,..",.,.,..-_.._..,..,. ~"r'[---- --------.".-.--. 7"7'---"'"'"C'..~_..:-..1""1Cj,~~~ <br />I' " I;J' :~I', : :,' ,,; i" ,I ' ,,', ,I' 'I \~ '. ,,;' II;', ',"1,,1 ,jJ 'T'Wrn',,~,~::; <br />tl~W.:cJ~~~_~i..J'~ _ ~____ __ _ '- _____~_ ____..'_J~I~.l'i',li ,:,,~J\~'I.'bi"11!~I~'iillr';;'I~{f~~I';j'~ <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 <br /> <br />~t~ f~L~ <br /> <br />COMPANYDet\{\\S l W\ \\\Cl..m5 <br />STATE CERT OR REGIST # ('~C .14cl5lo0:;;;J <br /> <br />PLUMBER <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 />