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<br />./ <br /> <br />'-'..&..1"'"'... ......... --- ----"'------ <br /> <br />~UIiLDING DEPARTMENT 5335 8ra at, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 3l~y.o lo~;. <br /> <br />PHONE CONTACT FOR PERHITTIN'~/3 )f91J - /JJ?5 <br />. - X/3~1 <br />OWNER'S NAME tiS lime ~LPJ()Jt/ft7tJAJ - tGAJ;1/.~ PHONE 8'~ -'7&9-5177 <br />MA.i~ \ e:, {(;J.. ~od~ \ y. <br />LEGAL DESCRIPTION: LOT(S) 1"'10 BLOCK--L- SUBDIVISIONtilOJ1dIJrlc. 7f}p)/}/;{}1T/( <br />PARCEL ID it (!)~'2~.. $~~~.()()\oO.6010 (rue) elOO) (OBTAIN FROM PROPERTY.TAX NOTICE) <br />WORK PROPSED: i)4TEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />DSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING 'W~~ <br /> <br />JOB ADDRESS <br /> <br />Oft OF UNITS <br /> <br />o MOBILE HOM: <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK -jC)LUJ1 h0I11t'..5 <br /> <br />BUILDING SIZE I ~.!'"I)( ft,3:zf'/j SQUARE FOOTAGE ~ HEIGHT ,n.?;; I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />'~ BUILDING <br />~LECTRICAL <br />~LUM8ING <br />r;(MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$.3....W~ 81:/ 00 VAL~ATION OF TOTAL CONSTRUCTION <br />\ {"Q Mrt.. tJlJI r AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$J ~ il.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 /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />/." .' ... STATE CERT OR REGIST * {!,6(. /d.)/'I'I~ <br /> <br />****************************************************************** ~ <br />COMPANyJI3~ [?Eef;e;(1~ oj la/l7fK<- <br /> <br />'" <br />/" <br />/ <br />ELECTRICIAN ~ ~ <br /> <br />SIGNATURE /. - . . <br /> <br />STATE CERT OR REGIST # ~ /'jO~/ ~f1h <br /> <br />****************************************************************** <br /> <br />::=~~ :::::N:~:~~~~IS~~r:~702/ <br /> <br /> <br />********************************* *~**************** ~ <br />MECHANICAL COMPANY ~ <br /> <br />SIGNATURE STATE CERT OR REGIST # tit e. 05uY/O <br /> <br /> <br /> <br />SIGNATURE <br /> <br /> <br /> <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br />