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<br />.. <br />, <br /> <br />'""'....\.... .......... --- ------------ <br /> <br />BUIiLDING DEPARTMENT 5335 arR st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 I <br />DATE RECEIVED '-',! > t I / ~. <br /> <br />OWNER'S NAME tiS lIome ~L/JoJtJ9-l7tJ,AJ - Lb/IJ#.~ <br />1rl4i~ \ ~ f2ll. mDde. \ \ <br />LEGAL DESCRIPTION: LOT (S) I... I () BLOCK -L SUBDIVISIONb!O/1d IJr/( J;jtU/J);~1I1f <br />PARCEL 10 # O~.2b.::21" $~~~.OO\oO.60}O (rut) ClOO) (OBTAIN FROM PROPERTYTAX NOTICE) <br /> <br />PHONE CONTACT FOR PERMITTIN'~/3 )f'1tJ -IJf15 <br />XJ 3.:2/ <br />PHONE 81 ~ - 7fL; c; -5)77 <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE 0 DEMOLISH <br />'Di1~~ 0# OF UNITS <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />CJ RESTAURANT <br />DESCRIPTION OF WORK -/ own hom t:5 <br />BUILDING SIZE / ~.5' IA))( fo3.2f'lJ <br /> <br />& HEALTH DEPARTMENT APPROVAL <br /> <br />SQUARE FOOTAGE J ~ ~0 0 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />HEIGHT <br /> <br />rn.1S I <br /> <br />& (1) SET ENERGY FORMS. <br />FORMS. <br /> <br />Jgf BUILDING <br />~LECTRICAL <br />~LUMBING <br />~MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$3.W~ 8!:/' 00 VAL?ATION OF TOTAL CONSTRUCTION <br />\ {"(} trtrt... ulJ\r AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$J ~ it-5.06 <br /> <br />VALUATION OF 'MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~ 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 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~.. ,.' <br /> <br />o ~. .. :::::N:ERT OR REGIST t 65C /a)N</~ <br /> <br /> <br />****************************************************************** ~ <br /> <br /> <br />COMPANyJ 13t. 1:1 c(!/fe!f_ ()J -;;; /YtfJC0 <br />STATE CERT OR REGIST # ~ /'iOb/ ~~~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN ~~ <br />SIGNATURE ./ " <br /> <br />****************************************************************** <br /> <br />~.. <br />PLUMBER -".-, <br />,./ <br /> <br />SIGNATa,:. / .~ <br />c..':'" <br /> <br /> <br />COMPANY A~/!JuR.. ${!AI e m~ oIL <br />STATE CERT OR REGIST it C;::(!. {)C//7:2/ <br />. <br /> <br />~ <br /> <br />SIGNATURE <br /> <br />COMPANY ~ ' <br />STATE CERT OR REGIST # C/J c dSYf-/IO <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br /> <br />il~ <br /> <br />SIGNATURE /'" / <br />/" <br /> <br />COMPAN <br /> <br /> <br /> <br />/ <br /> <br />- <br /> <br />STATE CERT OR REGIST # <br /> <br />{!(J -e657c;~ / <br /> <br />/ <br />.' <br /> <br />,// <br />