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<br />CITY OB' ~J!i.l:'n x~n~.1.I.1.Ii:) r.l:l.EU'~..&..&. ~...... ...__u_ - --. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />10 "'105' <br /> <br />. <br /> <br />PHONE CONTACT <br /> <br /> <br />OWNER' S NAM~ f? 5 IY/~' r <br />JOB ADDRESS 3 ~ 7'1'7;, t; rA <br /> <br />:rvvc... <br />AvL <br /> <br />PHO I~ . 7/~/t:J q :! ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /1-"-,2/.IJt:J/o../Y7tf(;)-c/ ~o <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />I~EPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:f9sGL 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 HOM <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK Llf9r~ I)t/ t"("e,]; P!Utlt/fh";.,r W~IJ'IVf, ~t (O.bu1e1S <br /> <br />BUILDING SIZE <br /> <br />SQUARE 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 PERM~T 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 />Noc... <br />0-4-'-1L-l C" re~ <br /> <br />PERMITS REQUESTED <br /> <br />../ \ I II 10<0 - Qe C:..l) "'!)M-A I L-\: D <br />VALUATION OF TOTAL CONSTRUCTION l-iSnnS <br /> <br />~UILDING <br /> <br />$ \0.000.00 <br />I . <br /> <br />~ELECTRICAL <br />~LUMBING <br />~ECHANICAL <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 GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br />~RAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />r1-Ot 59~$~ . <br />STATE CERT OR <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />*******************************~********************************** <br />~ "'J <br />q5~~ ~ riJ <br />COMPANX~~e.dYi(cJ L0L. ~ <br />STATE CERT OR REGIST # E c. t~O(::), ~c; .~ <br /> <br />ELECTRICIAN <br /> <br />~ 6" . .,.=- COMPANY'S.>>. "..:: < s '"'~~ ," '" <., .'SM ~ r;t) <br />\ <br />. STATE CERT OR REGIST # \~_:~:::c \ II ~ S\c,~:::-' <br /> <br /> <br />.*.........,.........*.......~.Ct.............*................... ~ <br /> <br />MECHANICAL A;/, . /J / 00, v COMPANY 641M;- h"/,,,-,r 6-" J " ~ <br />SIGNATURE ~ ~ STATE CERT OR REGIST # <br /> <br /> <br />************************************************** <br /> <br />PLUMBER <br /> <br /> <br />SIGNATURE <br /> <br /> <br />************************************************************ <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />