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<br />, ~\c~G~ <br /> <br />C1rr'Y OF :6J!AJ:'n~.t\.n.J...I.u..I'" ... .........- - --- --- <br />BUliI~ING DEPARTMENT 5335 8!rH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 " 1" 9/-0 7 <br />DATE RECEIVED <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OWNER'S NAME <br /> <br />A.~ ;Vlondf( <br />h 9 5l(; . ,~fd c ;(/~ 0/ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />/OBTAT>> F~PPERTY T~ ~OTTr-EI <br />o ALTERATION EPAIR"O INSTALL <br />o DEMOLISH <br /> <br />PARCEL ID # <br />WORK PROPSED: []NEW CONSTRUCTION <br />OSIGN <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />PROPOSED USE: OS~ FAMILY DWELLING <br />060MMERCIAL <br /> <br />OMULTI-FAMILY <br />D INDUSTRIAL <br /> <br />0# OF UNITS <br />D SWIMMING POOL <br /> <br />D MOBILE HO~ <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />EPARTMENT APPROVAL <br />~t;one/~ <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 />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />D BUILDING <br /> <br />,~ -" I ~RMITS REQUESTED <br />$ ~;>t7,'~__ VALUATION OF TOTAL CONSTRUCTION <br />I <br /> <br /> <br />o ELECTRICAL <br />o PLUMBING <br />D MECHAti/ICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />#/ <br />~1,lt 51) <br /> <br />VALUATION OF'MECHANCIAL INSTALLATION <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />D SPECIALTY <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />D 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 />r- ~~._- · .-~-'--=-~:_~:_ :__.T~:=---=~; . u__~: L~-~~~.~~_:~=.~ <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 />, <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />SIGNATURE <br /> <br /> <br />{-;, I <br /> <br />MECHANICAL <br /> <br />*************************************~****~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br />