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<br />""'....\... ~ ....,.. --- ----~------ <br /> <br />BUIiLDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 319() ICifc:' <br /> <br />PHONE CONTACT FOR PERMITTIN'~/3 )gql) -IJJ15 <br />X 13.:1/ <br />OWNER'S NAME tiS lPne/!;.e.;tJ()Lrh7tJ/fl- tblV;tZ~. PHONE 81~ -'7t/;C(-jJ77 <br />JOB ADDRESS fni\,j~\ e. I f(1J...- ()IC)A.'€~ lo ' <br />LEGAL DESCRI PTION , LOT I S I I ~ I (). BLOCK ---1- SUBDIVISION fj /and IJ if. 7f}..;/lIlMlt <br />PARCEL 10 # {')~.2l2.::21" $1'~~'M\oO.60JO (TNllu 01(0) /OBTAIN FROM PROPERTY , TAX NOTICE\ <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />OSIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING 'Qij~ 0# OF UNITS 0 MOBILE HOM: <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />DESCRIPTION OF WORK -/ c/LOJ1 hOI11 t:5 <br /> <br />BUILDING SIZE I ~.!' 11))( ft,3.z(/J SQUARE FOOTAGE ~ HEIGHT rn.1s I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />~LECTRICAL <br />~LUMBING <br />Gt"MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$.3.fo~ 8!:l 00 VAL~ATION OF TOTAL CONSTRUCTION <br />\ {"Q tdrt.. lJlJl r AMP SERVICE 'ti( Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$J ~ it.5:0ti <br /> <br />o SPECIALTY <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION:}Q 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 />COMPANY <br /> <br />SIGNATURE <br /> <br />,.' / .' - STATE CERT OR REGIST # ~t5(!, /~~/i/'I~ <br />/ ******************************************************************' ~ <br />/' "'. <br />COMPANyJI3~ {?cefelf~ ()17;J~ <br />STATE CERT OR REG 1ST # ~ /'1",,/ ~~h <br /> <br />ELECTRICIAN ~ ~ <br />SIGNATURE ./ ,. ' <br /> <br />****************************************************************** <br /> <br />~ <br />PLUMBER ...// .' .' / <br />SIGNATU~.R ~_ /"'/"'7' / ',., <br />.' -- <br />~?' <br /> <br />SIGNATURE <br /> <br /> <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />********************************************~****~*************** <br /> <br /> <br />A?~) " <br /> <br />SIGNATUR/ . /~ <br /> <br />COMPAN <br /> <br /> <br /> <br />STATE CERT OR REGIST * <br /> <br />t{!-{!657991 <br /> <br />- <br />