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<br />C1rry OF A!iJ!il:'n .J:~.n..L.u.u~ ... ..........-..- - ---... -- ---- <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, E~ 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING 913 - 7f6-S1J5 <br />S',\).,- ~3 ~6/O <br /> <br />.-- <br /> <br />OWNER'S NAME _ C.A'-0 (~ -f~?Y\(jt.\:j~~, <br />JOB ADDRESS 'lE.fh(5'--~- QA('V:- - . <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />tu~~ <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION C;~~~t.Q lE~~-,II.s <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />PARCEL ID it <br /> <br />f '-I -d-(.;, -d-/- 0000 - DolcO -' (y:X:j.:> <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE Hm <br />fg;OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br />DESCRIPTION OF WORK lr-l-tttAdtVL WP.-\-E~. Yo..("\':' - <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 .JO C <br />2 lies - ke.F4--Y\'vO~ Oo"y"\.p Lnt set S-Jo5 L <br />~ 1\.10 e::. /6.v.ho l ~ . <br />PERMITS REQUESTED 0~~NI~~Y1...',"\{17L <br /> <br />o BUILDING $ ll'{ 7/ ,/l/!. <.fO VALUATION OF TOTAL CONSTRUCTI~.~'t~~1~) ~~~ <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHAt-:jICAL <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 FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUILDER a,It/STf2,I4e,'h,w~lti) I..LC- <br />. r COMPANY <br />SIGNA;URE ..:i::;>ri~ . STATE CERT OR REGIST i Cc;.Co(;./~SfJ <br /> <br />~LECTIUCIAN <br />SIGNATURE '-1~----G-~1J G ~ <br /> <br />****************************************************************** <br /> <br />COMPAN~e..e~e..- E~\e c...t-n( {. \1 <br />STATE CERT OR REGIST ft ~q <br /> <br />--4e.. <br /> <br />SIGNATURE <br /> <br />. <br /> <br />* ** ~* */ ** *** * *** ** * ** ** ** ** '* *** * '* '* * '** '*.. *({*A-*ifif.;;;f-/~ <br />/ Ji~fl/A--- COMPANY 11I_ <br />If?~/' '. . STATE CERT OR REGIST # h35"1 ?.__N1- CJ I <br />****************************************************************** <br /> <br />--""-::'" -:_~~ ~~~ <br /> <br />/PLUMBER <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIS~r *' <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br />