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<br />C1rry OF l6~.t'n~~n..L.u~.... ... ......--- - n_ --- <br />BUU.DING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE GONTACT <br /> <br />DATE RECEIVED /~/- /1 1- 0& <br /> <br />FOR PERH;J:TTING,:1J3r 78'i'3&~_2-..-J <br />(-----~-, -1>~(J - <br />ltttONr------~- <br /> <br />OWNER'S NAME <br /> <br /> <br />BLOCK <br /> <br /> <br />.- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL ID it () CJ- ' i<~ ';(1/ - OO!() - Od.l..,DG ;' 00 ;;( 0 (OBTAIN FROM PROPERTY. TAX NOTICE\ <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION [JADDITION o ALTERATION [JREPAIR o INSTALL <br /> DSIGN D MOVE D DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI -FAMILY Oft OF UNITS [J MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />:.:r([ i :-J" 1:: <) VJ ..:5:';1 iF/J1 Foil ;;-JJ}/ R Finp' Z? I t/ . <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />o BUILDING <br /> <br /> <br />,q~ <br /> <br />-= <br /> <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 />-~,~..~.~--.~_.- <br /> <br />o MECHA~ICAL <br />D GAS D ROOFING <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL <br /> <br />') <br /> <br />INSTALLAT'~N~ 5t41~ <br />\ -r?; / -.-~.. --.. <br />~-~- <br /> <br />-_.,"..~,--- .- <br /> <br />D ?ECTRICAL <br />It' PLUMBING <br /> <br />AMP <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[J FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />ELECTRI~ <br />SIGNATURE <br /> <br />COMPANY <br /> <br />, <br />STATE CERT OR REGIST ft <br /> <br />PLUMBER <br /> <br />....~.......................*****:::::::*~~~~;;;:*~:;;:~5 <br /> <br />IPfIA STATE CERT OR REGIST i ! 70.:J <br /> <br />SIGNATURE <br /> <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 i <br />