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<br />CIrry OF :iiJ!iJ:'n.J.nn~.........~ ........nu_- .........""'---,..--- <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, E'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />'3--r3-o0 <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br /> <br />OWNER'S NAME R~~n&_(E tt-d:<2 <br />JOB ADDRESS ,) I 0 ,2 7. 0# O.--p~. r <br />, , <br /> <br />PHONE c/()7 .-)'70 3 C/( ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 it I d -d.(,o. @, - ba~ A -60'00 ~O\ 0 <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br /> <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />III ADDITION <br />DMOVE <br /> <br />zgY-u. I, T"'8 A:T-ION <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />WORK PROPSED: aNEW CONSTRUCTION <br /> <br />D DEMOLISH <br /> <br />DMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />D * OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOt- <br />DOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK z--U# Fp~.t2... (3\..\~. c-+";) <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 />o BUILDING <br /> <br />$ !fOOD,OO <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 MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D 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 AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <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 # <br /> <br />****************************************************************** <br /> <br />MECHA}{ICAL <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 # <br />