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<br />l,;J.'J.'i: Ob' u.1!iJ:Hi:RHJ.LLS .I:.1!iRMl'J.': .l\j?~L~~'J.'lQ~ <br />BUILDING DZPAR'l'WZNT 5335 8~1"Streeti Zephyrhilla, i'L 33542 <br />813-780-0020 FAA:' 813,.7 80-0021 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER' S NA~ ~ \-\tS \ .~~. \1\1,\\) <br />JOB ADDRESS~\jJ_ ~\ \ \ ~_~ ~\:=:(J <br /> <br />PHON~\3 ~ ~\a~'-\ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL ID ~ ~~\ -C'a\C:::l-c~~~ <br /> <br />SUBDIVISIO~\-\:Ji'~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTrfl <br /> <br />WORK PROPSED: ~CONSTRUCTION <br />o SIGN <br />PROPOSED USE:~FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />G...A.ce-r'1' ION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />~LL <br /> <br />o MOVE <br /> <br />.,,',.' <br />o DEMOLISH <br /> <br />OMULTI,..FAMILY <br />o INDUSTRI~L <br /> <br />OJ OF UNITS <br />,OSWIMMING POOL <br /> <br />o MOBI LE HOME <br /> <br />DESCRIPTION <br /> <br /> <br />~ <br />"\" OTHE~ <br />,-, ~ \00f"'"r) <br /> <br />APPROVAL <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAG~~ <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~oc.. <br /> <br />~~Il-.JG <br />~CAL <br /> <br />PERMITs'RI1gumsTED <br />$ \l '-\\.ct; ~ VALUATION '~~"T~;~~' ~ONSTRUCTION <br /> <br />, <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />~1~~~, <br /> <br />o PLUMB I NG <br /> <br />o i"lSCHAIHCAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOrING <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 />() <br />(C()O ,,:/ <br /> <br /> <br />SIGNATURE <br /> <br />.... H H.... HH....:..:......... ',~:::::~P\'~~: ~~ <br /> <br />o 'IJ (j~) STATE CERT OR REGIST # <br />~ ( CITY PROCESSING # \~\ ~C(;~GEA- <br /> <br />Q <br />1-yS~ <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br />'. <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING #. <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING * <br /> <br />SIGl-.JATURE <br /> <br />*******..*.****.*.***.*.*******.*..~.**~*.**.****.**************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST * <br />CITY PROCESSING * <br /> <br />S1 GNAT!JRE <br /> <br />***************************************************-*******.....** <br />