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<br />cIrry OF l6~.t'n~~n..L.u~.... ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 8u at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />2~ 7:J....-D(o <br /> <br />PHONE GONTACT FOR PERMITTING t-/Ol- qD'Z- 5~ <br /> <br />OWNER'S NAME Wh'l+t-e.JllOI~ Rotv'"+- ~ Sh\r\eJ.1 PHONE <br />JOB ADDIlEB~'&lb Cixj~l .L.oo9 ~(hiL~) fL.-. ~... <br />LEGAL DESCRI PTION: LOT (S) 111)q , BLOCK SUBDIVISION mCt.-:fst\ G (Jaj:(S <br /> <br /> <br />PARCEL ID it <br />WORK PROPSED: ONEW CONSTRUCTION <br />D SIGN <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE\ <br />o ALTERATION 0 REPAIR &'iNSTALL <br /> <br />DMOVE <br /> <br />D DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[]t OF UNITS <br />o SWIMMING POOL <br /> <br />~BILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK ~ ~ ros \L mcdeJ <br />BUILDING SIZE \,2')( ~~' SQUARE FOOTAGE 320 <br /> <br />HEIGHT <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 />& (1) SET ENERGY FORMS, <br />FORMS. <br /> <br />~~. ~ 2.!:\ '? ~~ <br />CiA. <br />tJot'.. ../ <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />~LECTRICAL <br />~LUMBING <br />~ECHA~ICAL <br /> <br />$ 1/, ~()[).. 00 <br />\CO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE ~progress Energy 0 <br /> <br />W. R. E. C. (;1.,e" <br />(lJl <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF.MECHANCIAL INSTALLATION~O <br />o OTHER <br /> <br />$ ~SO ,dO <br /> <br />TYPE OF CONSTRUCTION: (;( BLOCK <br /> <br />o FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES [] NO <br /> <br /> <br />BUILDER. ~ . <br />SIGNA;URE " ," ~, <br /> <br />COMPANy(re'er rf)ObL~ Ho~ ~\(D~ <br /> <br />---.. <br /> <br />STATE CERT OR REGIST i ll1-{~~W <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN ~ ,/~ <br />SIGNATURE -1? ri ~ " fill Jut! t11l /LV' <br /> <br />COMPANy6N~Y ltuilde.r <br />, I <br />STATE CERT OR REGIST . <br /> <br />****************************************************************** <br /> <br />PLa=E~ ~ C <br />SIGNATURE_ ?..cZ <br /> <br />COMPANY[{xSW nlob, \L. \-\()Y'\'L ~n(IQJS <br />STATE CERT OR REGIST i I~-(j)(f)~\~ <br /> <br />MECHANICAL -.ll' . . / <br /> <br />SIGNATURE 0-( er [if /(tV Ch ~ <br /> <br />****************************************************************** <br />COMPANY nWrv f ) hll~ ltier <br />r - <br />STATE CERT OR REGIST i <br /> <br />********************************************~****~*************** <br /> <br />OTHER ~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST i <br /> <br />- <br /> <br />SIGNATURE <br />