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<br />CIrry OF :laJ!i.t'n~.t'.n.l..u.u.... .. .....--- - --- --- <br />BUIiI.DING DEPARTMENT 5335 8~B st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />. <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />Yf lV,vy l-<-:Tc~c-~ <br /> <br />. <br /> <br />5'1\5 \~~.~ <br /> <br />PHONE .35)..- 999.~ ~6~6 <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />PARCEL 10 it )1- 2t. ~ 2./ -volt? .- {;> ~ l.( DO' - o,t~ D <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />[] REPAIR <br /> <br />r3--tNSTALL <br /> <br />o DEMOLISH <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />01 OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL <br /> <br />lAf&-.e~c- 2- () ~ ./-lr4.? <br />SQUARE FOOTAGE I [(?/ c;J <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK 5e,e V!e c:.. <br />BUILDING SIZE ,AJ{r-:') <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br />~ECTRICAL <br />o PLUMBING <br />o MECHAt-lICAL <br /> <br />$ <br />2-00 <br /> <br />775: ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~gress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />. D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~; ~~~ _:=~--~-~-'-~--)=- . - ,~~=-- =-'_~,~ ..- --,~~~~-=::; <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST I <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~7~ COMPANY ;7-LpJ/,q. /S1<co7Z<:- <br />SIGNATURE ~ STATE CERT OR REGIST I rl... ool.>-2-({l-( <br /> <br />******************************************************~*********** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />***********************************~*~******~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br />