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<br />"'dq I <br />9 <br /> <br />(.;J.'.I.'X OJf li.Hi~tiXKtiJ.LLS ~lllRMl'J.' A~~LJ.CAtJ.'.LO~ <br />BUILDING DEPARTMl!:NT 5335 8th Street, Zephyrhill., FL 33542 <br />813-78P-0020 FAX:813-780-0021 <br /> <br />DATE RECEIVED \ 11..4/0<0 <br />PLANS REVIEW FEE <br /> <br />OWNER' S NAM~(~ \-\(~\ -C- ~'f\ ~\\-:=> PHONE'~C)~~~\~~ <br />JOB ADDRES[-=5\~~~ L\\ ~~C:L ~)\ ~) <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~ C'(~\-\(~( ;~ <br />PARCEL 10 #~~~\~~\~:)~.:::::J~n--~ (OBTAIN FROM PROPERTY TAX NOnCE) <br />WORK PROPSED: ~CONSTRUCTION ~TION OALTERATION 0 REPAIR ~ALL <br /> <br />o SIGN <br />PROPOSED USE: ~AMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />o COMMERCIAL <br /> <br />o MOBILE HOME <br /> <br />~. <br />o SWIMMING POOL \=\\~:~~"'" <br />~~RANT & HEALTH D~~~~APPROVAL <br />\'C=;)\L~ ( ,~N\ I r0~d ~((0q) <br />SQUARE FOOTAGE~~ <br /> <br />OMULTI,,"FAMILY <br /> <br />0# OF UNITS <br /> <br />o INDUSTRIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~oc _ <br /> <br />~l~G <br /> <br />~CTRICAL <br /> <br />PERMITS .. UgUESTED <br /> <br />, . . <br /> <br />~'-~\. ~ '4~ VALUATION OF <br />l <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />TOTAL CONSTRUCTION <br /> <br />FLORI'DA POWER ,~. R, E. C:~ <br />"---..>\\ Q ~~ <br /> <br />o PLUMBING <br /> <br />o ~~"=CHAlnCAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TY [oE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />fINISHED fLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO <br /> <br /> <br />:~::~~ ,0 '~~ C'~ <br /> <br />. ~PANY '- .cA' <br />~ . ST TE CERT OR REGIS~ # <br />~ CITY PROCESSING # ~ <br /> <br />* * * * * * * '" * * * * * * '" * '" *'" '" * '" '" * * * '" '" '" * '" * '" "'''' '" * * '" * * '" * '" * * '" '" ... '" '" '" '" '" '" '" * * * '" * * * * * ~._ .~ 0::- <br /> <br />ELECTRICIAN ~~' ~~PANY'Nt \)'1='-\QA(~ :>. <br /> <br />~.." '. STATE CERT OR REGIST # <br />SIGNATU ~ C r ~~SSING # \'~) <br /> <br />****************"''''**'''*************'''***'''*************'''*"'******"'**** <br />'. <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************"'******"'*"'**"'''''''**'''**'''********"'****"'***** <br /> <br />S I Gl~ATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />OTHER <br /> <br />****************************************************************x <br />