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<br />CIrry OF ~J!iJ:'n.~nn.L.u.l.l"" ... ...........- - --- --- <br />BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, FT~ 33542 <br />~ 813-780-0020 FAX: 813-780-0021 . <br />. J DATE RECEIVED <br /> <br />~) ~ \ \ IS B-oD.t- PHONE GONTACT FOR PERMITTING <br /> <br />.-.-- / <br />::E:~= ~r/r~~~)-;,A~~oVi'~ \ <br /> <br />PHONE <br /> <br />7J.7 '9/9 S3J~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID '* <br />WORK PROPSED: []NEW CONSTRUCTION <br />D SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE} <br /> <br />o ADDITION <br /> <br />[L(ALTERATION <br />o DEMOLISH <br /> <br />[J REPAIR <br /> <br />o INSTALL <br /> <br />DMOVE <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D,* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOt-( <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />R~L R~STAU~~ & HEALTH 01M<~MENT APPROV~.. . <br />pi "V' (-{),,<){,_ fffA.f ~y <:;( (<'V1 <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />D BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />o PLUMBING <br />o MECHA~ICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />?J7952JZ <br />J . <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <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 .&..NO <br /> <br />~-'-'~i~ -=~~__-~_~ '-,--~--_~~~~~ ~_'_._.~~l==-- '. - 'I ,-=~~-=--=--=-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 />- <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />SIGNATURE <br /> <br />*********************************************~********(*~*******A'~ ~ <br /> <br />'0' COMPANY C),,frl1n 1vO/. .1~e~ t <br />/5~~ E'V ~ <br /> <br />STATE CERT OR REGIST '* <br /> <br />MECHANICAL <br /> <br />*************************************~******~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />