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<br />cIrry OF l6~.t'n~~n..L.u.u.... ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />,~'//r/f t/b <br />DATE RECEIVED <br /> <br />- <br /> <br />OWNER'S NAME <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />, " ",htJr:t , <br />~~~''; fer~J g [)all;))v),'1" PHONE $'rJ~J.?.!-7J)6 <br />'10 ( . arIA ~V, " , <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it OCZ--"21o - b1-\- cx::160 - 00 \ 00 - O~40 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br />o ALTERATION ~AIR [] INSTALL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT <br /> <br />(hJlt77 e <br /> <br />& HEALTH DEPARTMENT APrROVAL <br /> <br />(/(/1 /1 ~ fi' t j?(/7' <br /> <br />SQUARE FOOTAGE ' HEIGHT <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br />o ELECTRICAL <br />o P~BING <br />~ECHA~ICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o ROOFING <br /> <br />AMP SERVICE <br /> <br />fJ (J~ <br />$4, /tJ4 <br />I ' <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />'0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [] NO <br /> <br />[~-.- ,-._~~=~__'_~T _ . - ,._=-=- L~C-L~~~~-'-':~~'=:"j~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <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 REGIST i <br /> <br />, ********************************************************~******** /' <br /> <br />"'CHANI~ COMPANY tJ '/)",?""/<,, ,,). 1:J/'1/I7;; UJ , <br />SIGNATURE __ STATE CERT OR REGIST {A C tJ S'f 7 7 {. <br /> <br /> <br />*******************************~********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />