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<br />Clfl'Y OF li!iJ!i.t'n~~n.L.4.I~u;l 5......\+.-... ....--......,~~~-- <br />BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />.813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />1- /(j- de <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br /> <br />""'~ i :, <br /> <br />-'~. "<,.. <br />'...~ .....,.,~ <br /> <br />.. ., <br />\r}} tl~;.~ ,:;~, <br /> <br />. bb6&i~4. <br /> <br />OWNER'S NAME <br /> <br />, <br /> <br />(jfJ f] / Ii../'( (iJ &.J 0 f) <br />;lIt/Ala-A- d LaJp <br /> <br />v .. <br /> <br />5 <br />3'-j-d-S -~/- ()J() 0 - oOOJJ- 00S-0 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />:Tgll F~@e' rY' <br />2/3 -711-:53/f <br /> <br /> <br />SUBDIVISION O~RI'-/J JtJ; , <br />P-1 {IlL / <br />(OBTAIN FROM PROPERTY.TAX NOTICE\ <br /> <br />JOB ADDRESS <br /> <br />7JOlf <br /> <br />PARCEL ID it <br /> <br />WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL <br /> o SIGN o MOVE D DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING DMULTI-FAMILY 0* OF UNITS o MOBILE Hm <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />& HEALTH DEPARTMENT APrROVAL <br />lu&-J <br /> <br /> '86 2;7~, .:.,' PERMITS REQUESTED <br />1fJ. ~UILDIi:m $ R, ? ~ (JJ VALUATION OF TOTAL CONSTRUCTION <br />r;. ELECTRICAL AMP SERVICE D Progress Energy D W.R.E.C. <br />o PLUMBING <br />o MECHMIICAL $ VALUATION OF-MECHANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />~tl e'--- <br /> <br />J i 1-, ')~ <br />C~ <br /> <br />COMPANY ~ U/) ~t(/e AUd'>t, LA C . <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br />SIGNATURE ,,;1 CL {! 'L-~ <br /> <br />" ,35.. ~J <br />CU-<t~ ~ ~TATE CERT OR REGIST # <br />'2 . <br />. . . <br />****************************************************************** <br /> <br />COMPANY <br /> <br />IYk)N~/I <br /> <br />FUlrtL <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHAl'{ICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br />