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<br />C1rry OF ~J!i.t'n~.t\D.l..Ll.u~ ...-......-- ...-...........~---- <br />BUIILDING DEPARTMENT 5335 B~H st, Zephyrhi11s, FL 33542 <br />,B13-1BO-0020 FAX:B13-1BO-0021 <br /> <br />DATE RECEIVED <br /> <br />. <br /> <br />--....- <br /> <br />PHONE GONTACT FOR PERM~PiRMlT SERVICE <br />813-788-5314 <br /> <br />PARCEL ID it <br /> <br />ik b Or L-h /Y) e Ie 6../ f- <br />J7if'lrJ- (jlve~Vj CavLf <br />J~ <br />) (j _~ -d-!-OlcJO-OOO(/)- (),JeXJ <br /> <br />PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION tue;/q.e~ /JltUrT <br />,- 11--1/ <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />D RESTAURANT <br />DESCRIPTION OF WORK 0 C1...R..R.il <br />F I V" /1/ I <br />BUILDING SIZE ~ !.. <br /> <br />rrxJlJ1 <br /> <br />& HEALTH DEPARTMENT AP~ROVAL <br />at-I s~.b' <br />)/~r/J, <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 />NOC~ <br /> <br />~ BUILDING <br />~ELECTRICAL <br />6 PLUMBING <br /> <br />$ <br /> <br />[, (PI tloo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o MECHAl'lICAL <br /> <br />$ <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D 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 AREAO YES 0 NO <br /> <br /> <br />SIGNATURE <br /> <br />. r- l .... <br />. ~a...cc,{. <br /> <br />t~ <br /> <br />--<::> <br />1/2. ) <br /> <br />AkPl. he. <br />({9 <br /> <br />BUILDER <br /> <br />STATE CERT OR REGIST f <br /> <br />****************************************************************** <br /> <br />~S'6- e~ <br /> <br />"' <br />.~ <br />.~-g5.~ <br /> <br />COMPANY <br /> <br />/J7 o/'ic/l <br /> <br />;;.-tcd-rt~ <br /> <br />&0 <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />****************************************************************** <br /> <br />MECHANICAL <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 f <br />