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<br />CI~Y OF :liJ!iJ:'I1~l'n.L.u.u~ ... ......-.- - --- --- <br />BUnDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 ~ <br />813-780-0020 FAX: 813-780-0021 . of, <br />J DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />JOB ADDRESS <br /> <br />)~y s' <br />(3'X () <br /> <br />!J~Jy- . <br />. r;.-f4 ~~. <br /> <br />PHONE <br /> <br />79)-- ~(p~'7 <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) . BLOCK <br />PARCEL ID it i I - Zf.e,- ~I- ~IO -IL/S"oo- 0 100 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />Iff/I- r;~./ rJ ~ . <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />(kJ..:...-t - <br />; }.\ c;-S <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~CHA~ICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />3) ,; <;0 , <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 AREAD YES 0 NO <br /> <br />r~ . '-;-~u~~-=~_~_~_~T=~~~~_~~:-~_ul~_,_~~.~~--- '. .-.~.~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br /> <br />****************************************************************** <br />COMPANY "7Jrfe.-/ .5y,v. t.L. L . <br />, <br /> <br />STATE CERT OR REGIST * (}:Jet> r-P~s:- I <br /> <br />**********************************.*~******~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />