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<br />C1rry OF ;(jJ:!j.t'n~l'\n..L.u.LIu ... -.......- - --- --- <br />BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br /> <br />DATE RECEIVED <br /> <br />;2 - 02/- o? <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />~ ) e 0 ~ : ft;J I c 5f ,+'(2 <br />j (J. dill! PIg <br /> <br />PHONE <br /> <br />1!Z>t3'JJ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br />WORK PROPSED: DNEW CONSTRUCTION <br />DSIGN <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />DADDITION <br />DMOVE <br /> <br />DALTERATION <br /> <br />D REPAIR <br /> <br />D INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />D COMMERCIAL <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D. OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO~ <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />Ii RESTAURANT · HE.,>"TH UEP~~Hf"} goP', O,V~L <br />S D A1/ 8~LJ.tj/<- /}//;<-I fLb~tI <br />, 'S Vd._ tv 21u . C:)' L ~~1r- <br />SQUARE FOOTAGE " , <br /> <br />1-f)~~ <br /> <br />DESCRIPTION OF WO~ <br /> <br />HEIGHT <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 /> <br />PERMITS REQUESTED C 11 .) ~ <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />$ <br /> <br />D B~NG <br />~LECTRICAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />( jb() AMP SERVICE D Progress Energy D W.R.E.C. <br />$ VALUATION OF'MECHANCIAL INSTALLATION <br />D SPECIALTY D OTHER <br /> <br />D PLUMBING <br />D MECHA~ICAL <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 D NO <br /> <br />,- -~~--,-- -~ -- - -- -- .--- -- -- ----, -., ,--- ---~-----------( -- -- -- -, . - ---,_.- -------:---<:" <br /> <br />~ ' I" , <br />~~'_____:....__..:_c,~-'--______ ___.__,.!..-'-_,~~I-_--, _" ---- ,~'---~--_~I ,:" <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />......................... .~....... ** **. "TJf)i;j '*67107f*7 71;1) ttJ /.vb <br />I.J~ COMPANY , -L 7:LJ(; <br />!/ '1, t STATE CERT OR REGIST # .L; f) () 0 ';J <br /> <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />