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<br />...........\.... "... -------------- <br /> <br />BUI'LDING DEPARTMENT 5335 8rR st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 3/..9(JOfL,;. <br /> <br />PHONE CONTACT FOR PERMITTIN/~/3 )gql) -IJJ75 <br />,- X 13.:1/ <br />OWNER'S NAME (1.1 Ibne ~/AJtI'l17tJ.N - t6N;1IH... PHONE 81~ -7t,'1'-5,i77 <br />JOB ADDRESS fdi\j~ \ e..: R It - ('r)(")Oe \ a . <br />LEGAL DESCRIPTION: LOT IS) I - I (). BLOCK ---1- SUBDIVISION r; hNJ a;t TrIu;/I/Jd11!l <br />PARCEL 10 * (f)~ .21L:2J.. ~1~~' M\oO. 6OJO _CrUll B 10()) (OBTAIN FROM PROPERTY. TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING 'W~~ Oft OF UNITS 0 MOBILE HOM: <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK -/OLV/1 hornt'..5 <br />I . <br />BUILDING SIZE ,tf}.5 I u))( f.o3.z! IJ SQUARE FOOTAGE J ~ ~tJ 0 <br />( <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 />HEIGHT <br /> <br />rn.7S I <br /> <br />.JKt BUILDING <br />~LECTRICAL <br />~LUMBING <br />[;(MECHANI CAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$.3./.0~ 8!:/' 00 VAL?ATION OF TOTAL CONSTRUCTION <br />,{"Q tdrt.. O'-H.r AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$J ~ it.5.ot) <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:~ BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~~'.~:::~~,~,_~~_:~'~I._.__,~_~;~~,'O_' -~,I -, ~", ..-, ,- [-- -~'--.-~~!-:-;----- <br />~._C~~-'L_. '" <br /> <br />- -~-- --- <br />1- r~ .,"1 -.--" ~rllr-'-""""-I'''''''rj <br />I, I,' " :' I ,I,' f: ,,' .' ,', I' I,~) <br />_____~_____.____~_. ____~ d_.........___1 ~..L~~~:.h...L___L _~~~cil~ <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />'IFJ..~1. ~ <br /> <br />~~.! ~ <br /> <br />SIGNATURE. ".. .... STATE CERT OR REGIST * (!fie. /d,5'"/'/Y4.- <br />/,? ****************************************************************** ~ <br />ELECTRICIAN. ~ 4} fl-.--- COMPANyJI3t. Elcc-/;el(!, M Mavn <br />SIGNATURE /~~~ STATE CERT OR REGIST # Jk; I~()b/ ~i1h <br /> <br />****************************************************************** <br /> <br />OTHER <br /> <br /> <br /> <br />COMPANY A~i!JuR. $rlAI e mO-.fG <br />STATE CERT OR REGIST it (!;::'-c:. ()c.j/7:l/ <br />. <br /> <br />~ <br /> <br />~' <br />PLUMBER // , ,',' <br />SIGN~' // " F-- <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR <br /> <br />***************************************************************** <br /> <br />COMPAN <br />STATE CERT OR REGIST it t/! - {!, 65791/ <br /> <br />