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<br />CIjI'Y OF A!i.l!i.l:'n1.~n..L.L.I.L.IU ... ......--- - --- --- <br />BUIILDING DEPARTMENT 5335 82:H st, Zephyrhills, FL 33542 <br />.813-780-0020 FAX:B13-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTING 81~-1&l-q5:)O <br /> <br />OWNER'S NAME keC Mo.,ct', r <br /> <br />PHONE 0\0 -'lB~ -q5~D <br /> <br />fJ'(\uo..\d 'Vn\nt . <br /> <br />JOB ADDRESS ~5L\y \ Cll (" ('(\0...-\ \ (\ e .J <br />''"'\.l-lo <br />LEGAL DESCRIPTION: LOT(S) ~~__ <br />PARCEL ID * ~L..\ ~ ~\o- )J _ 00'60 --(:fXJOD - 2.~f.oO (OBTAIN FROM PROPERTY. TAX NOTICEl <br />WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 1)1 INSTALL <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK \(\~ta \ \ 'S-€..-L0{f" <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~ PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~~ '~-~-=-I~-'__-~~-=-=~~~_~~~~_____~[=~~ _' I , -==_-=-:-~=I~~_~~~___~n_:~_,-.~-~~,~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />- <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />SIGNATURE ~~ '>J... tlJ..t~q-. <br /> <br />COMPANY\)U\,,\~ W\ \ ham""> rnc <br />STATE CERT OR REGIST it C~L 1L\~5( oO~ <br /> <br />PLUMBER <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />***********************************.********~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />