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<br />., <br /> <br />CIrry OF A!iJ!i.t' n ~ .n.U.L.I,J.LIU ... ..........- - --- - -- <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FJ, 33542 <br />813-780-0020 FAX: 813-780-0021 <br />~ DATE RECEIVED <br />~ dO,. ,54 (ckJ~ ~~ <br />PHONE GONTACT FOR PERMITTING <6\3 I<;S~ ~O~ <br />"..> f<, ,~r'",o. ' :;~; :." ':-j;"':"I':r'~ J;:~";~"'.,~(':i. [$I -s,~-", <br />;JA~"~ ~..;> i;.;..~"t~'~'2il ~~!:;,,~;.:(,j"',\, \51 ~~,~ <br /> <br />JOB ADDRESS <br /> <br />c) {/ f / /1- JI-e <br />Y:a rr. ()1 IU <br /> <br />i.' -00'"''' -8'24--f't1'Q4 <br />,0 ...~... - <br />PHONE Toll Free <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) /1 <br />J(- 02S- -~ I - ()J/ () - I P; 00 -rJOaJ <br /> <br />BLOCK <br /> <br />SUBDIVISION CtJuJrj' (Jd{ <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />PARCEL ID it <br /> <br />WORK PROPSED: qlNEW CONSTRUCTION <br />o SIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />(J REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />PROPOSED USE: ~SGL FAMILY DWELLING <br /> <br />;J,. _ ..\, .. _ _ 0 COMMERCIAL <br />f'V\ \)I}l L)l..- rr--IM'F- 5 ii\ <br />u~ L~\.~~'''' ~-.)~~ 0 RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />~S~RI~\:fcJN~~ WORK j:;l)<$L'1... ,~&/)t.{ ~~ L it ,v1 - J- rSC1-i-(J1 <br /> <br />i <br />R 1- 31' <br /> <br />OMULTI - FAMILY <br /> <br />0# OF UNITS <br /> <br />I{YJ/YJ <br /> <br />6N~ <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />fJ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHAt\lICAL <br /> <br />"," <br />$7, ~~ '-' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF-MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o 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 <br /> <br />COMPANY otullr - <br /> <br />SIGNATURE <br /> <br />~~I-{i t/~ <br /> <br />STATE CERT OR REGIST # <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 # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***********************************.********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />