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<br />OWNER'S N^"E liS lIcme ~?4J,t 19-/70# - (;G- Nt1I.M:. <br />JOB ADDRESS M.A.t~ \ e..:, f2 /).. - '(lnode' "3 <br />LEGAL DESCRIPTION: LOT I S I I ~ I 0 BLOCK ---1- SUBOIVISION G /aJ1d IJ it ~/I/;d1l1l <br />PARCEL 10 Jt (f)~.2~" ;1~~'M\oO-6010-CrtLl1u OUJO) (OBTAIN FROM PROPERTY,TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION DALTERATION 0 REPAIR 0 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING 'bd~~ <br /> <br />'-'.....1....... ""- --- ----..------ <br /> <br />BUI;LDING DEPARTMENT 5335 8rn st, Zephyrhills, FL 33542 <br /> <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 3/,90 loCe? <br /> <br /> <br />PHONE CONTACT FOR PERMITTIN/<?13 )f9t? -IJ?5 <br />X /3.:JJ <br />PHONE 81~ - 7(/;9-5177 <br /> <br />o Jt OF UNITS <br /> <br />o 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 APPROVAL <br /> <br />DESCRIPTION OF WORK -/t)Lon homt'..5 <br /> <br />BUILDING SIZE 1&>,5'"1)( ft,3.2f'/J SQUARE FOOTAGE ~ HEIGBT ,n.?;; I <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 />~ BUILDING <br />~LECTRICAL <br />~LUMBING <br />Gt"'MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$.3.10~ 8!:1 00 VAL?ATION OF TOTAL CONSTRUCTION <br />\~() tdrttt- OIJ,r AMP SERVICE Ji( Progress Energy 0 <br /> <br />W,R.E.C, <br /> <br />$J ~ il.5.otJ <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 /> <br />BUILDER <br /> <br />". <br />.' <br />/ <br />/' <br /> <br />..." .' STATE CERT OR REGIST * {!;j(!. /~-)/~'/~ <br /> <br /> <br />****************************************************************** ~ <br /> <br />COMPANyJI3(! t!Et;fe/(1~ oJ ];;~ <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN A4 #: <br />SIGNATURE / . ' <br /> <br />STATE CERT OR REGIST # ~ /1o.tJ/ ~('~ <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANyA;::..f!Ju!l. $t!A/ema,{G <br /> <br />STATE CERT OR REGIST # c;::(! ()C// 7~ <br /> <br />~~********************************* :t**************** ,0 <br />/~ COMPANY. ~ <br /> <br />STATE CERT OR REGIST # C/J ~ 05-oylO <br /> <br /> <br />~.4 <br />PLUMBER,,";::>."" <br /> <br />SIGNAT~'y--// . 7-- <br />cY <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br /> <br />COMPAN <br /> <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />STATE CERT OR REGIST # <br />