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<br />C1rry OF :6J!i.t'n .I.~n.L........q ... -+""-..~.. .~-.. or-","" ~~- <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE IVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />'\ <br /> <br />OWNER I S NAME VJ I L- L! /f J'1 f3 c-IJ II (~/5~ <br />JOB ADDRESS . 10 0 '0? ;: () ~M. C 0 ~c- fJ ILl V C-IC.. <br />LEGAL DESCRI PTION: LOT (S) ~ \ BLOCK <br /> <br />PHONE <br /> <br />SUBDIVISION SrLL/i/2 oAItJ <br /> <br />PARCEL ID it <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICEl <br />o ALTERATION ~PAIR ~NSTALL <br />!B/6EMOLISH <br /> <br />o MOVE <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />Of OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HO~ <br />DOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />Ile: - If (I ! ~ /~ P <br /> <br />'J;; ;I <br />I <br />FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SI ZE <br /> <br />SQUARE <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 />o BUILDING <br /> <br />$ ~ ~LS <br /> <br />PERMITS REQUESTED <br />C"J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />D Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL $ <br />o GAS ~FING 0 SPECIALTY <br /> <br />VALUATION OF-MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />L~.] ~~~',~~-~_=--,_~~=~~-~=~~~~ ~~ _,~_~~r_---, '- ]~] ---=~-=~~r ~~~~~~,---Ir-~~-~-~.~.~,-' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <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 ({ / C-fr $-A iJ I/J COMPANY ?A 1/) J ,,-,,) R (!) oL' ) ;J D <br /> <br />SIGNATURE ~/-::- f}/j/f STATE CERT OR REGIST .. /lCtJOL/f;2L!) <br />