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<br />JULll V2004!l10N 03: 08 PM ZEPHYRHILLS BUILDING <br /> <br />PAX No, 913-760-0021 <br /> <br />P. 00l/001 <br /> <br />ci:n OJ' ZEPB1'JUIILLS PDMX'l' DI'LrCATJ:ON <br />"U=ODfC IZPAR'J!NDr.r !l33!l lift St; ~h;i.U.. I'%. 33542 <br />61J-780~OOaO rAX:813-780-0021 <br /> <br />DAD Ucz:IVI!D <br /> <br />fHOtlB C~ FoR. PIIllMt!l'!.'rNG <br /> <br />~IS'~, <br />JOIIAIlDMU <br />LEGAL DESCRIPTION. LOT(S) <br /> <br />1'1lONt <br /> <br />SLOCK <br /> <br />SOSDIVISION <br /> <br />eMCf:L tD t " <br />WORk PROl'SSO, DNEW CONS'1'ROCTl:O)l, O.l\.DO:r;TION <br /> <br />fosniLrv lrAnN Pltoplt'Rl'V 'l'.Y ~OI'TCE) I <br /> <br />o SIGN <br /> <br />o HOVE <br /> <br />OAJ;.'1'ERATION <br />o COOLISH <br /> <br />o RE~AIR <br /> <br />o INS'fALl. <br /> <br />PllDl>OSElI Dst, DSGlJ fAM'ILYOWELLING <br />(J COMMERCIAL <br /> <br />OMl1LT:t-r~ILY <br />o l:~DUSTiuAI. <br /> <br />atOi' ONU'S <br />(J SWDIlCING 1'00L <br /> <br />o MOBiLE SOM!; '., <br />o O'l'JIEll <br /> <br />CJ W~tJlIA)l'l' & ~ElU.TH DEPARTMENT APPROVlU. <br /> <br />Dr Sciu:P.r~OII or 1IOlUC <br />Bun.DING st~&: <br /> <br />SQ01dU: FOOTl\Gs <br /> <br />JD:IGiT <br /> <br />lI,ESIDENTUJ.\ ATTACH (2) ~t.oT PiANs " i21 SE'l'S or SVXLDINli PLANS, (1) sb EblElGY' FORMS. <br />COMloJERCIAL: AT'l'ACH IS) SETS: or BtllLDING l'IJI>>S & (1) au ENERGY F01V!fS. <br />IF 3IGb! PERNI'1' ONLY (.2) Sil'1'!! 05' ~QIlJ.&!I;:RED Iiuws REQuIRED. <br />. : ~ROPERT,{ soaVEY REQUIlW> FOa ALL Nt". CONSTRUCTION. <br /> <br />o BOII.DING <br />tJ EI.ECTlUCAI, <br />o PLOMsINl; . <br />d MECHANICAL $ <br />o GAS. d,ROOFING 0 SPE:c~rY <br /> <br />,$ <br /> <br />>>KRKI:~S RJiQuESfilD' <br />VAL~TlbN OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o progrU4 Energy, 0 <br /> <br />".!LB.C. <br /> <br />V~'1'lON or DiJECIlANCIl\L INSTALLA'l'ION <br />r:Jotm <br /> <br />TYPE OF CON~TJlOCTION:' 0 BLOCK <br />rI~IskEci ~ooa ~~TrONS <br /> <br />o FRAME <br /> <br />. 0 gTE~L ' '0 O'1'IIER <br />IS P1l.O.n:c~ :nl rLOOD ZONE JI.'iti:AO ,liES 0 NG <br /> <br />:." . . -, 'I'.' ,---'.c -~~:~;~~-"~~':--_:'-,. <br /> <br />1Itl~ <br />SZGNATUIU!l <br /> <br />coef~AN't . <br />STATf: CtJlT OR lEGIST . <br /> <br />.y*..........*.....~.........w...w...~~.~w..wwww****...**.......P. <br /> <br />2ilR~ <br /> <br />SIGNAToaE <br /> <br />c:ooP>>tt <br />S'l'A'l'E l;Ell.T OR ilts:tS'l' . <br /> <br />.*.~.~....~~..~........*.*.*..........+....*.+.............~**...~ <br />. , <br /> <br />PI.IJHllQ <br /> <br />SIGNA~C1RE <br /> <br />. COMPANY . <br />STAT!! cUT OR lU:GISt . <br /> <br />WI!lCJOllfzcAL . <br />SIGNATORE <br /> <br />. f~,.......**+~"Lh+***h.***....**.~,..;;;~*Ylifl~H~~ ~'Ur-L <br />L-? ~ ~.'. -\lUTE 'CU'1' OR REGIST . ~ ~~ <br /> <br />...........~.......~...~.................~~~...........~...~..... <br /> <br />O!llJlBR. <br /> <br />SIGNA'1'URE <br /> <br />CoH~Jl,NY <br />STATE CERr OR REGI3T i <br /> <br />Z:13/Z:13 39\;;1d <br /> <br />H:J3W O:JClI\;;I <br /> <br />P9L5-LPS-LU <br /> <br />51:91 PI3I3Z:/Z:1/LI3 <br />