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<br />"""'.[.......... ....,... --- ----~------ <br /> <br />BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED 319olo~,; <br /> <br />PHONE CONTACT FOR PERMITTIN/<f13 )~1() - /iJ15 <br />XJ 3.:1/ <br />OWNER'S NAME (IS lime ~L./J()Lm7tJfi} - LGNJ1/'.M:. PHONE 81~ -'7(;;9-5177 <br />JOB ADDRESS 1\l.il,j ~ \ e..: e It - Y'"Y1od:e \ q . <br />LEGAL DESCRIPTION, LOTIS) I ~ l() BLOCK ---L- SUBDIVISIDN[;hfJd 16ft ~/JhollA <br />PARCEL ID it (f)~-2h.=:.2J'" $~~~'M\oO.6010{TtLllu 0100) IOBTAIN FROM PROPERTY.TAX NOTICE) <br />WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br />o SIGN 0 MOVE 0 DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING ''bO~!:'BmQ Dit OF UNITS 0 MOBILE HOM: <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />DESCRIPTION OF WORK -j()lu/J homc:..5 <br /> <br />BUILDING SIZE I d1.5' /AI)( (g3.2(/J SQUARE FOOTAGE ~ HEIGHT;;G. 7s I <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.~ BUILDING <br />~LECTRICAL <br />~LUMBING <br />Gt'"MECHANICAL <br />o GAS ~OFING <br /> <br />PERMITS REQUESTED <br />$.3.10~ 81:/ 00 VAL?ATION OF TOTAL CONSTRUCTION <br />\~Q bfrL"Ol.llr AMP SERVICE Ji( Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$J ~ 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 AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />.' <br />, <br />~. <br />f <br />/ <br /> <br />~.' ..' STATE CERT OR REGIST . (lAc. /d-S-/"''I~ <br /> <br /> <br />****************************************************************** ~ <br /> <br /> <br />COMPANyJ13(! [?Cefel(7~ oIJa/J7fJCi... <br /> <br />SIGNATURE <br /> <br />ELECTRICIAN ~ ~ <br />SIGNATURE .r ' . <br /> <br />STATE CERT OR REGI.ST # ~ 1'j{>.tJ/ ~~h <br /> <br />****************************************************************** <br /> <br />~- <br />PLUMBER . .,,;C:>.... . <br /> <br />SIGNATU....... /....,. ~ <br />~/'?" <br /> <br /> <br />COMPANY A;:.iIJuR. 0~A/ e ma.(G <br />STATE CERT OR REGIST it CA ()c/; <br /> <br />MECHANICAL <br /> <br />********************************************~****~*************** <br /> <br />SIGNATURE <br /> <br /> <br />COM PAN <br />STATE CERT OR REGIST it tJ-(}6579c; / <br /> <br /> <br />OTHER <br />