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<br />"'-...L..L.L V.I: ~J,,;;:..,i.s::'(J..L~..LJ...&....&...J..u.., ~.&;.IJ."",.......&....... ~'&""".L.I...&.'-&il.-L...'J.a... <br />BUILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1/11 7 lor <br /> <br />PHONE CONTACT FOR PERMI~rTING <br /> <br />OWNER'S NAMECrCtnd f}6YlldY] <br />JOB ADDRESS ?J 752 c{;( /1 Ave- [61 271 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />(OBTAIN FROl'-l PROPERTY, TAX NOTICE) <br />DALTERATION D REPAIR ~STALL <br /> <br />WORK PROPSED: D NEW CONSTRUCTION D ADDITION <br /> <br />o SIGN 0 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 FOOL <br /> <br />~OBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WOM. S"ef'lAf Mohllf had <br />BUILDING SIZE 31 '1-)' f/SQIJARE 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 />/ <br /> <br />PERMITS REQUESTED <br /> <br />.- <br /> <br />l/ If /1~3 <br />.!;---- <br /> <br />-----"..- <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 CI <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLliTION <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 <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATUREId~ 8~CO <br /> <br /> <br />****************************************************************** <br /> <br />STATE CERT OR REGIST # <br /> <br />EJ;,ECTRICIAN <br />SIGNATURE 4/7~ Z3~ <br /> <br />COMPANY A {e <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE I<./'-':I~ /3~ <br /> <br />* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.;. * * * * * * * * * *, ** i1 * * * * * * * * * * * ,f * * * * * * * * * <br />MECHANICAL COMPANY ..L.tLP- <br /> <br />SIGNATURE 4/.7~ /.7. /~ STATE CE;T OR REGIST # <br /> <br />COMPANY 13Lt. fTedJ e/L{ <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />