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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 />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME p., 0 kv + <br />JOB ADDRESS '37/ S s <br /> <br />s~v ~J(o( <br />rex. r.lA..V\ tPi <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID it o~ - 'L1.o- 7 \- 0 \ 1...0 - ooCXX)- (Y--I (pO <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br /> <br />WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> D SIGN DMOVE D DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY []. OF UNITS o MOBILE HO~ <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />R <Z.- 'too f <br /> <br />LO <br /> <br />-see <br /> <br />L..)/ <br />/ <br /> <br />cz.... <br /> <br />,!O '/ (CUr <br /> <br />csAF It' ~~((\p'",-, <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ ~'3, <600, D U <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />D Progress Energy D <br /> <br />W.R.E.C. <br /> <br />o MECHA~ICAL $ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br />~-- .~_~.~=-:~_~_~: ____~i~:. . ,~ =:_-~- L-~_~---"--~~- -=-- ~~-,: <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 />, <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 />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />Ife 0 *;/7;: * **. *** *** * * ****. * ** * * * * * **. * **.. * ** * **< *** *. ** ** *** * ** **. ** <br /> <br />OTHER _) COMPANyJ;~ 1/,I/f(L!l/U/l~h. tPh!f-r;"rJnc <br />~ ~ <br />SIGNATURE / __ STATE CERT' OR REGIST it Ce C OJ 7 7J-""7 <br />