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<br />CIrry OF l6J!i.t'n ~~n~.u~.... ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br />PHONE GONTACT FOR PERMITTING 2J~ 0,0'1-97-,1'3 <br /> <br />OWNER' s NAME~_f\,)'I(\ \ \. J'\ ^~) ~ (\ rQ Y'~\ ll\!\\'i-V\ ~eJ~/JJJ C,?HONE <br />JOB ADDRESS6sR6 D'hc\iC(:t\ \,hfJ\l) I f\1f\€~--er~"~\~'\\\ f=\ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it 02 - ~lo- ;>..\ - 02." 0 - ()OOOO '- aD 10 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE\ <br /> <br />WORK PROPSED: PNEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br />DMOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />DESCRIPTION OF WORK 3:: V\~\~ \\ l,j\A \\ ~ ~ c;" <\ <br />r <br />BUILDING SIZE ~() ~ SQUARE FOOTAGE <br />" ( <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. f' _.~f~,L <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.JD~~.~T----- <br /> <br /> /goo oC PERMITS REQUESTED <br />~ BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />Ji1. ELECTRI CAL \ lD tJ_ AMP SERVICE D Progress Energy 0 W.R.E.C. <br />o PLUMBING <br />o MECHA~ICAL $ VALUATION OF.MECHANCIAL INSTALLATION <br />D GAS D ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: [] BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER. . / _ \ . \ LI ~ 52'50 COMPANY L~ ;::\icy'\ ,-<..e~'lll<:"e <br />SIGNATUR~ ~.l.J ~ STATE CERT OR REGIST i~ 17(lC<::l..-~SS- <br /> <br />******************************~~ty******************************** <br />''3"} .. II <br />ELECTRICIAN --<: I \, ~ COMPANY l0lt' ::s.;S)'l ~llics;. <br /> <br />SIGNATURE'-::- ll~ i~~ STATE CERT OR REGIST I F0 \"ZO'O~ <br /> <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <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 />