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<br />OWNER'S NAME (IS /Pne~L/J()Lm7tJfi} - LG"I\J#.H. <br />frl4t~\ e: e/)o. \'lode \ '-1 . <br />LEGAL DESCRIPTION: LOT(S) 1"'10 BLOCK---L- SUBDIVISIONb/OJ1d/Jilc --;;;tU/J/;~/1l( <br />PARCEL ID # {!)~.2h::2J.. ~~~~'OO\oO"60}O (TNAU elOO) (OBTAIN FROM PROPERTY.TAX NOTICE\ <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: DSGL FAMILY DWELLING 'Dd~~ <br /> <br />'-'.1.... "'... -------~------ <br /> <br />BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 3/80/ofc/ <br /> <br />PHONE CONTACT FOR PERHITTIN/<f13 )f1l? -liff5 <br />XJ 3.:21 <br />PHONE 81 ~ - 7(;; Cf - 5J '7 7 <br /> <br />JOB ADtJRESS <br /> <br />0# 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 -j()Lu/1 hOmt'..5 <br />, .QA .r') 1.2 J"'J\ r <" c-u/,.. ''N1.1f' f <br />BUILDING SIZE LA?~ U. ')( "'J.'l~ V SQUARE FOOTAGE ~ HEIGHT lZlL_;:).. <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 />!:it"MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br /> <br />$310~ 8!:/' 00 VAL~ATION OF TOTAL CONSTRUCTION <br />\ ~Q ts'trl.... UIJI r AMP SERVICE ~ Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$-' ~ 11.5:06 <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 t CAr. /"'I5""/.y''1~ <br /> <br /> <br />****************************************************************** ~ <br /> <br /> <br />COMPANyJl3t EIE(!;f;eJ(7~ ()170~ <br /> <br />, <br />/ <br />/ <br /> <br />EIXCTRICIAN k #: <br />SIGNATURE I # <br /> <br />STATE CERT OR REGIS'l' # ~ I~Ob/ ~fh <br /> <br />****************************************************************** <br /> <br />~4 <br />-~ .,. <br />PLUMBER...... <br /> <br />SIGNATUI).ll'/'/ .~ <br />.c::;';/ <br /> <br /> <br />COMPANY A~i!JL/R. 01AI e ma.{G <br />STATE CERT OR REGIS'!' # CF(!. 6c..1/7:21 <br />~o <br />. <br /> <br />********************************************~****~***.*********** <br /> <br />COMPANY ~ <br /> <br />STATE CERT OR REGIST # C/J t!.- os-o'-/IO <br /><b <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br /> <br />COMPAN <br /> <br /> <br /> <br />STATE CERT OR REGIST # <br /> <br />tC! - {3(j57c; ~ / <br />