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<br />CITY OE Zi.l!i.t'I1.l.t(n.J.J.\.LIo:J r.l:.l~'.&~'" ~...... -.......--- - --- ~<..: <br />BUILDING DEPARTMENT 5335 8!rH st, Zephyrhills, Fl. 33542 -,I-" ( ! f~ ./. - <br />813-780-0020 FAX: 813-780-0021 /0-12- -0 ~ <br />DATE RECEIVED - - - <br /> <br />PHONE GONTACT FOR PERMITTING Y/3--7f).-Of..g?f <br /> <br />OWNER' S NAM~V\.AC e <br />JOB ADDRESS . L(O'S(J 1 <br /> <br />L l~,^ ~ or: \'\-k/~'^ tS v; rJc Uw1e.v:~ ~rI ~(3 - 7 ? k - 0 I ~ Y <br />Cltl&- i1C €-, u2d , . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL ID # \ ~ - -:Llo- .)..')..- 00\ 0 - 0 lo~O~OO 00 (OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: .~NEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />-JX"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 />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK , ~ CS-\--v-'^-ct $+-e..eJ t;,v..\ l cl~ J. <br /> <br />BUILDING SIZE tf~ y 55 . SQUARE FOOTAGE d-.Ll7 S HEIGHT / d... I <br />-pl\...LS .y S)<. ~D C-cve v"CJ..... ere-""'lL..v~ 3"'3> 75 w/t~vvc:'.{ o~ o--Y~C,- <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, I <br />:IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ v' <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />AMP SERVICE <br /> <br />~ Progress Energy <br /> <br />f'-}4 ;'p/ <br />iliif WO~ , P'~ <br />o Wir~ <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />PERMITS REQUESTED <br />{.tS. {P)J-,EiJ" VALUATION OF TOTAL CONSTRUCTION <br />, <br /> <br />$ <br /> <br />o PLUMBING <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 />If{ STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~ NO <br /> <br />_c..=~.=_.~"'"-_.. .-'1C"~----=-_.'-"----.'" __ ,__ __ ,--- ----------- -- - - -- -- _.--~.------ --.------. ,---'-7 --=~-- -,..-~= <br />.","1"""1; " I I -" _' I 4 , , ""~I,t,""I""'i'","i'.I0i_."H~l"!'~'r <br />I t I ~ I I . I I II , I ~ ":'~~ "'t~)~~~l ':'~ ,tt:~L(F~~~'I~~rl <br />=.lc~~_~.l--_______~~ ___ - --- - __..........1..:1.__~~-~-~ <br /> <br />BUILDER <br />SIGNA;URE ,M ZZ-? <br /> <br />COMPANy~\A.8r~~t ~ ~s.~Cc. Lv'\.<: ' <br />STATE CERT OR REGIST # Cf;~(C (!)lj 3 t..; ;)..d.- <br /> <br />*********** ************************************** *************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br /> <br />~ <br /> <br />SIGNATURE <br /> <br /> <br />C- <br /> <br />STATE CERT OR RE 1ST # <br /> <br />************************************************** *************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG ST # <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 # <br />