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<br />rv J... ? <br />.~~ <br /> <br />CIrry OF ~J!iJ:'n~.I:'-n..L.u.LI~ ........---- ------ <br />BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 <br />,813-180-0020 FAX: 813-780-0021 <br />DATE RECEIVED J I - 13- O(,e. <br /> <br />PHONE CONTACT FOR PERMITTING %13 ~ 7)(;<-15;;.[. <br /> <br />OWNER'S NAME 1-1 b.QA{ 1''1 -fro r e S5Iol1~.ls t..Lc <br />JOB ADDRESS 'tel..( 4 0 'I ,~~ :5 T, <br /> <br />PHONE 813 - 7 tf-;). -75".20 <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />, . 0010 <br />PARCEL ID # ~ 0 J.. - 2 (P -2 (- 00(;;0 - OOC-nO -IOBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: 0 NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />~R <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMULTI -FAMILY <br />D INDUSTRIAL <br /> <br />Of OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOt-( <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL <br /> <br />~~fux\~() Se.c't";OY\ ot 5e~}.ej{ L,~ <br /> <br />SQUARE FOOTAGE HEIGHT <br /> <br />DESCRIPTION OF WORK <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 />o BUILDING <br /> <br />$ :2.(1)0' c-O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />~UMBING <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D MECHAl'IICAL <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 />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />~ -, -,~, -=~" _~~~~~~~_~~_ _,__~__[-~~~~ ~-=~~~~~~--~J_.-__~___ I~~~~~~- - -,7~~,- <br /> <br />BUILDER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br /> <br />COMPANY U.e.vtn"s j. LJJ;'~5 T;,c, <br />STATE CERT OR REGIST It C:.rG i'l'l5 (,(J:J. <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br /> <br />***********************************.********~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It <br />