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<br />CIrry OF A!jJ!i.!:'n ~~n.1..u.uo.;, .. ......--- - --- - -- <br />BUNDING DEPARTMENT 5335 8ra St, Zephyrhills, FJ.J 33542 <br />813-180-0020 FAX: 813-180-0021 <br /> <br />,1 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME ---;;:;; Il~/Je/ / <br />JOB ADDRESS~~-'~ :?gc7~ 7f-h ~- <br /> <br />C :~3) 'Ie; -' L/ ---- <br />PHONE /' .l .IS - (;);>.) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID it <br /> <br />II - '2. ~ - ;)....J - 00' D - /1300 - 0 , '2..\ <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />Oft OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO~ <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />C~ CJ0 r <br /> <br />& HEALTH DEPARTMENT APrROVAI, <br /> <br />~/L- <br /> <br />t~r-JfT. . <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 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 />QeJ~\ <br />"l\ Slu <br />~ <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />3r c?vo.-[; <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />~HAtilICAL <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 />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />['_ __~-; ____ .~_. ._. _.____.~_ _. _.' ___. - - ,----"~~--_-_-----.-.," - _" __""" - " - ___._ -c" .--"-~.--- <br />t I ' 1.1 <br />I, I' i' " ,,' I I I I ' I , II <br />~_L.--------.!..___~____~~___'--~______~.__~__':"""_--------~-"- _~~_ __~__~- 'J <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 REG 1ST # <br /> <br /> <br />************************************~~*~*************** <br />COMPANY '/7 N S-c='.rt/' L,k- C-. <br />/ <br /> <br />STATE CERT OR REG1ST # t1~o S-~~,;-/ <br /> <br />SIGNAT <br /> <br />**********************************~*~******~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG1ST # <br />