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<br />CITY OF ~.I!i.t'It:L.t(I1.J..u.ui::) .I:".I:I.na..~.'" ~......_...-.._----. <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FI.. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING f/3-7~ ;).-Ob 7[- <br /> <br />OWNER'S NAM~Y\A.ceL, leV\. By. ~l<... PHONE S13-7t??-{)j~y <br />JOB ADDRESS 4-D SO q ChCLVl <.--12.-, tel c-e-pk1" h ~ (I5 ~2 s3 ')'-/6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />I X' --:;;. LP -.). :t - Db 10'- D &'J{ () 0'- ODD 0 (OBTAIN FROM PROPERTY. TAX NOTICE I <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOM <br />o OTHER <br /> <br />o BUILDING <br />r;a ELECTRICAL <br />o PLUMBING <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APf?ROVAL ,/" Lf>-'X55 ( <br /> <br />DESCRIPTION OF WORK ye.. O-~ ?O\AY Y'i'bY\ol',4{.,'L s\a....b yovu:Jl-e.. <br /> <br />BUILDING SIZE 45-x5S' + .;to'K LfJ' SQUARE FOOTAGE '"3~(~ -to-t-...l HEIGHT <br />Iol&~. c~ pe.V\.b--r~ ') <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />~MMER~ ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. l~~l /)j, ()r.:; -- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '....I.\,) ,-, jP.J\j\,\., J <br />,..... <br />~;)"- I r'i '),A-lli=Jli ~.J <br /> <br />PERMITS REQUESTED c>f fY0 i \.;))i N~ . <br /> <br />VALUATION OF TOTAL CONSTRUCTION SLft.~ ~ ~~N00"\\~/-J <br /> <br />~ Progress Energy 0 W.R.E.C. ()N~ <br /> <br /> <br />14 ( <br /> <br />$ <br /> <br />J.cl 500 <br />I <br /> <br />1'50 <br /> <br />AMP SERVICE <br /> <br />8m -J '-, /s <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <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 /> <br />BUILDER <br />SIGNA;URE...~ ~~r:y <br /> <br />COMPANY rjAfSv~~k- f <br />STATE CERT OR REGIST # c..6 c (j Y ~ l{ ;;a...2. <br /> <br />****************************************************************** <br /> <br /> <br />35 . ,~ \:> <br /> <br />COMPANY #), /I~ l:;J,..cf),/~sn c.. <br />STATE CERT OR REGIST # cC-I'roo/3f?'J <br /> <br />'-- <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />M1lICHANICAL <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 # <br />