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<br />~9/06/.2004 21:06 <br /> <br />2516538348 <br /> <br />PAGE 01 <br /> <br />SE?!07/200~./1UE :9: 56 AM ZEPHYRHILLS BUILDING <br /> <br />iAI No.8J3-780-0021 <br /> <br />P,OO:/DO) <br /> <br />CITY. OF ZEPBYRJIrLLS PE~I!r APPLICATION <br />l!llTlY.)tl(G PlClI'AJlTNINT 5335 i1'" .St., Z.hyJ:h~,Ull!l, it, 33542 <br />.. . e13~'90-00'-O FAX:U3-7S0-0021 <br />, "AU mlcEIVrD <br /> <br />PRom; r;~",c~ Ii'OIl PJlRHITnNr:: <br /> <br />OW}jF.Il' S <br /> <br />N1\~B )"j()! Jl.d frS 11.1(7 prI <br /> <br />PHONE <br /> <br />~/-~-qr;/J <br /> <br />JOEl ADDm:SS <br /> <br />LEG^L DESCaIfTIo~; LOTtS) <br />PA!l.CEL I D II <br />WORK ~~OP9&C: ~W CONSTRUCTI~N. 0 ~nITI0N <br />o SIGN 0 MOVE <br /> <br />llMCl( <br /> <br />SUBDIVISION <br /> <br />rQJ~rN FROM PAOPr.RTY T~ NnTT~~1 <br /> <br />l:lALTI:lU\.UO}q <br />D Dtt-IOTJISH <br /> <br />o ae;i'AIl\ <br /> <br />0; I~eTP.LL <br /> <br />PROE'ostD U8E: DSGll. E'AMILy DWtl,l.J:NG <br />~OiMER.CIAL <br /> <br />Ol,tOLTI-FAMr.l.... <br />o INDUSTR!}I,J. <br /> <br />Of O~ OI\1:t'1'S <br />o S~IMMINGJ?OO1., <br /> <br />O:MOSILEl 1I0ME <br />J:l~ OtHER <br /> <br />DDSCRIPl'ION OF WORJt. <br /> <br />o RES~AUMNT , HEALT~Jil(IARTMtN,T APPP.OVAI. <br /> <br />~/re fJ[D/-r;t:-h"m, pr//J/Pr 6, P/-I' ff7 <br />SQUlI.U tOOTAGE BEIGH:!' ~~ <br /> <br />BUILDING sns .M <br /> <br />RES.IDENTIiU,: ATTACH (2) PLOT PLANS' r21 SETS or BUILDING PLllNS ,. {ll SET ENERGY rolUfS, <br />C~IlCIAL: ATT~eij (3) SETS OF. BUILDING PLANS. & (li SET 5N~RGY FORMS. <br />IF SIGN ~€RMXt ONLY. (2) SETS OF ENGIWlill>REC PZ,I'.NS RECll.lIlil!:D, <br />PROPUTY SURIlEY EtEQOIR1i:O fOR ALl" NEW CONSTROCTION, <br /> <br />o B[1ItO!~Ir. <br /> <br />$ <br /> <br />PBRMrTS lU!lQtms~ <br />. V~,13l\~T.O\ol Of' T.O'1'AL CONSTRUCTION <br /> <br />o ELECTll:(Cl>.:L <br />o PLOHBING <br />Cl MECHANICAl. ~ <br />o GAS 0 ROOr:rWr. l:I SJ>ECIlU,TY <br /> <br />AMP SJ:JI\VICE <br /> <br />o Pl:'ogress Energy 0 <br /> <br />W,R,E.C:. <br /> <br />VALUATION 6r HECHANCIAL INSTALLATION <br />~J{li:R <br />o .FRAI-'.E 0 STEEL CI O'l'HilR <br /> <br />TYPE OF CONSTIlOc:TXOIl: 0 l!IJ,OCK <br />E"INISI1~1l 1no00R ELEVATioNS <br /> <br />IS PROJECT HI ",000 aONE. JlREAO ,YES. 0 NO <br /> <br />;::----- '.:-'- .... ~-~ --;:'---.. -- - ~. ~ . - ~. . -., <br />."- -::;;"-,; ",0' ,:c-':_;_:~-,:__ _', ' '__~':~__ ,:, ~__ '_~ " <br /> <br />llItl:t:r..0l!111 <br /> <br />COMPANY <br /> <br />SlGNATrjRO: <br /> <br />STAT~ C~~~ OR REGIS! * <br /> <br />. . <br />.~.~...._.........~w.****.*..4........**~*~...*+....~~~4.~.......* <br /> <br />1l%.1'1C~:rc:r.~ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STAT~ Cr.aT OR Rr,~XST # <br /> <br />..~WW*W...**.**~~..~.~.~....~~R.*~....**.*.~**.~.~..~+**+......... <br /> <br />J'LUHI:lER <br /> <br />COMPANY' <br /> <br />SIGNA't'tJIl.F. . <br /> <br />S't'ATm Cm~T O~ REG1ST . <br /> <br />M'-CKMillC"-T.. <br /> <br />*~*.~.~.~..w*_*~+**~*.~**~*......*~*~*.....~.~*.~_~~..4.~.~.~w*~~. <br /> <br />COMI'''N'f <br /> <br />SIGN1\TUP,E; <br /> <br />STATt CE~T OR .RF.ArST . <br /> <br />0.... kP~~':::J;;;li:;;;;'15;;;(-&>MkC- <br /> <br />BrGN/\tl.l~r. . ..:.( - . stll.'rli: CJ:l1'\'r. 01'\ I'\l!:GIS'l' ~J1liSf?(p1(<Y2/Y?3 <br />