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<br />JOB ADDRESS '5/3 <br /> <br /> <br />Ii] <br />CITY , ~J!iJ:'nx~n~l.I.1.1i:) rJ:l.nl.......&..&. ~......_...__u____. <br />! DEPARTMENT 5335 8TH St, Zephyrhills, F]~ 33542 ~ <br />813-780-0020 FAX: 813-780-0021 ~S <br />DATE RECEIVED <br /> <br />PHONE CONTACT FOR PERMITTING ~NfO AtstitA- <br />CeL.L srt3) 927-tt3/1 <br /> <br />PHONE[SI:Y 973-1 Z Be <br /> <br />'/t.tS 2. ;:;0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # II 2(0 2/ COI <br /> <br />BLOCK I 93 <br /> <br />SUBDIVISION <br /> <br />PROPOSED <br /> <br />OSIGN <br />USE:)QSGL FAMILY <br />o COMMERCIAL <br /> <br />00 0 <br />)(ADDITION <br />o MOVE <br /> <br /> <br />WORK PROPSED: <br /> <br />p6ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DWELLING <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 /> <br />c=J ~ESTAURANT & HEALTH DEPARTMENT APPROVAL <br />4'1'20' 8'y202.' <br />G 157, <br /> <br />BUILDING SIZE 2 <br /> <br />SQUARE FOOTAGE )/GW ~ 22.4 $, F I <br /> <br /> <br />& (I) SET ENERGY <br />FORMS. <br /> <br />-n <br />I:K< . I N5W <br />RESIDENTIAL: ATTACH (2) P OT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) S TiS OF BUILDING PLANS & (1) SET NERGY <br />IF SIGN PERMIT ONLY (2) BiTS OF ENGINEERED PLANS REQUIRED <br />PROPERTY SUR EiY REQUIRED FOR ALL NEW CONSTRUC <br /> <br />1t )o(f'if <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br /> <br />_ T--';. <br /> <br />$ <br /> <br /> <br />PERMITS REQUESTED <br /> <br />)d BOILDING <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCT1 <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />IJ. <br /> <br />VALUATION OF MECHANCIAL INSTALLATI N <br /> <br />o GAS <br /> <br /> <br />o ROOFING <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BL <br /> <br />. 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 />BUILDER <br /> <br />t91.(/~e~ <br /> <br />************** <br /> <br />STATE CERT OR REGIST # <br />I <br />r********~******~************~******************* <br /> <br />35. :;"~COMPANY I~ <e~f'u~ <br /> <br />STATE CERT OR REGIST # <br /> <br />t........A1 ..........)f~~.~~.................... <br />! 'P~.~4 'qTJJ~' <br />I COMPANY <br /> <br />SIGNATURE <br /> <br />,( ELECTRICIAN '. 1/ <br />../ f, J <br />'\ (._ <,..'. '..... I <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />************** <br /> <br />~************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />I STATE CERT OR REGIST # <br />I <br />*************.*~************************************************* <br /> <br />OTHER <br /> <br />! <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />