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<br />CIil' Y UJf ~.l:!i1:'t1:! .t{t1l.l.d..l~ .I:".I!i.tU".l~ '.1' l".J:" J:" .LI~\...,IU: .LVL't <br />BUI;LDING DEPARTMENT 5335 8TH 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 />OWNER' S NAM~B-..Lt/vul a. L{A l,{ 1 ef <br />JOB ADDRESSSJ0 7 l'~ (' ,-R, ~~ <br />LEGAL DESCRIPTION: LOT(S) 3,0,10 BLOCK Ide; <br />PARCEL ID it /1- de, -J,/ - 00/0- 1:J{t O<!/ "eJo1d <br /> <br />PHONE ~q 7Cj ~ I <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY.TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />o SIGN <br /> <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />o it OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM! <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br />DESCRIPTION OF WORK ~e... ~O ~ <br /> <br />BUILDING SIZE <br /> <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 PERMIT 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 />$ 3600>.00 <br /> <br />VAL~ATION OF TOTAL CON6TRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~ROOFING 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 />I S PROJECT IN FLOOD ZONE AREA 0 YES <br /> <br />o NO <br /> <br />~~~-"~~~'-_._-'-c-~~----- --- -----1". -. ____'_'..._r'_[~.,.- --_..,......-="'T..",........,I=,..""Y.V'.., <br />',I>.t' -t. ',' I' ) " j"14 ", I rr"\" ~l~l~if'\' ,[Oi r,t! <br />"I :r."', I lj I ~I\I Ill"I'~ 11-llfW"'Jbll_lll;p'l~" <br />I .. I " " ,. " 'I I ", i'" j 'I ," ' " 'r" .11 <br />I ,j" p. '" r _ ... 1 " '.' . ': - 1,:",,;,:.;~:d)>;;-I:"tS~":"" ~ II, -" J"j If ", 'J jl' 1, ,i~"!"ljlll' " tl! 1,1~"1.f:r~r.Ntt:j L~~~ <br />~~~__~-.'~'I'~I_l"~" ,:oI-Jw,J!l .;T"'~l., I <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST it <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <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 # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />********************************************~******************** <br /> <br />OTHER ~ <br />SIGNATU ' : ~/ <br /> <br />COMPANY Ry'rucn At" <br />STATE CERT' OR REGIST {'~.(! / 51 \-(~:U"- <br />