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<br />'-.J..~J. VI: ':"'.l:.IruJ.nu.J...L.U-Iu r.L:.IJ;U'''~.L r>.'O;.&;;.&.l....'-'r>..L~'U'... <br />BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 .. I <br /> <br />813-780-0020 l!"AX; 813-780-0021 DATE RECEIVED -1L( /7 ID.5 <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME Grand ~dZO() <br />JOB ADDRESS j 152~ C,II Ate Lot 21t/; <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />/ <br />\ilORK PROPSED; ONEW CONSTRUCTION <br /> <br />(OBTAIN FROt-l PROPERTY, TAX NOTICE) <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />I\JANSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WOAA, sef-L.p mohili horn~ <br />Z7J</r;D <br /> <br />BUILDING SIZE <br /> <br />SQGJARE FOOTAGE <br /> <br />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 />( ~51J;)- <br /> <br /> <br />-...---.-.-- <br /> <br />PERMITS REQUESTED <br /> <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALL1"TION <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 />I S PROJECT IN FLOOD ZONE: AREA 0 YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE tJ~ L3 __~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />E~ECTRICIAN ~ <br />SIGNATURE .{/;''''''' ~ ' <br /> <br />COMPANY At' e <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY Bi-ldel c( <br />V~7- ~ STATE CERT OR REGIST it <br /> <br />****************************************************************** <br />COMPANY fie e <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE ~C-)/7 ~....~<~ STATE CERT OR REGIST # <br />**********************************-k****************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />