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<br />CI~'Y UJ!' ~.I!i.l:'t1:x. .t<.t1.l.l.a.u::i .l:'J!i,tU"U."J: ,IU' J::" .1.1.1.\",.1\.-.1: .1.Ul't <br />BUI;LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />I 813-780-0020 FAX: 813-780-0021 <br />DATE RECE IVED <br /> <br />I PHONE CONTACT FOR PERMITTING <br /> <br />:::E::~:E ~:~ ?::,/';:' <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />J~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # /0-1.(7- ;)./-OiIO- ~ ~ ('14~'J <br /> <br />(OBTAIN FROM PROPERTY,TAX NOTICE) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~STALL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOMI <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />~C ~?~ <br />r <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />o BUILDING. <br /> <br />$ Ll,toO. "'CO <br /> <br />VAL~ATION OF TOTAL CON6TRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br />~rnr"r;''':r:r::-l ~~'-' ==~. -r~'-'-~' '--F--~-~. --- - ---OJ' - ---"--n-.----r.."---.-cc."i'T'--11T"'....".-'''S.,,-.Jrt:r':''''''''' <br />i;U!~U I ~ , . \ .~"'),,,;~,' 'd! '\"..iI~J' ,I, I ~ (Vi 1j~1 ' r/i;t/-\ih.ll,!1~'r~Jt~14~t~!lra'11" <br />1",)1 ;, ...~"_ / 1 , ' I It" LJ~,,: r'"I.J"~,Ir;,~;,1"J.I');"II"-,~1'f[!rJ~'fa-Plt*u;t,~r~ <br />~ __' I ~ f,r;;", I";, l' L ~~+j) ,t~;;;->-J,f<, I, ",'~l.,.,.",r:r" ~' <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />. <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />***************************************************************** <br /> <br />:::::TU:~ <br /> <br />/il <br /> <br />COMPANY <br /> <br />h,/ j.)U<' . ) <br />./ <br /> <br />./ <br /> <br />.Kc:/'~J <br /> <br />REGIST # (:'('~' /$)J"50 \" <br /> <br />STATE CERT OR <br /> <br />~- <br />