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<br />\. .:~ _ 1 ~; <br />1'\'_ ;'! l <br /> <br />2004/WED 04:09 PM <br /> <br />ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPBYRRILLS PBRMcrT APPLICATION <br />BUILDING DIPART:HIN~ 5335 8~ St, Zephyrhille, rL 33!42 <br />813-780-0020 ~AXIB1~-180-0021 AI/ <br />DA~1l RIlClllVllD (/-;<.. ~/- ~ 7 <br /> <br />P ~O' 1 <br />I,"' J. <br /> <br />PHONll COmAC!1' I'OR PJ:RMI'.rTING <br /> <br />OWNER' S NAM~ <br /> <br />f15hIO'F) <br />?gj3 <br /> <br />/3t~ <br />blf.!/ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br />- <br /> <br />/iLt//) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SOBDIVISION <br /> <br />PARCEL 10 t <br /> <br />(Oa~AIN FROM PftQptRTY,TAX NOTICEl <br /> <br />WORR PROPSED: []WEW CONSTROCTION <br /> <br />DSIGN <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTEMTION <br />o DEMOLISH <br /> <br />OREPAt~ <br /> <br />o INSTALL <br /> <br />PROl?OSF~D USE: DSGL Ii'lWILY DWELLING OMOLTI-FAMILY <br />~ERCIAL . CJ I!3DOSTRIAL <br />", <br /> <br />O. OF UNITS <br />CJ SWIMMING POOL <br /> <br />o MOB I LE HON8 <br /> <br />o <br />OTHER <br /> <br />0' RESTAURANT & HEALTH DEilARTMENT APPROVAL <br />DESCRIP:UON 01' WORK /N~7/f// ~ L/J/-nA/ /It:l/-t qL /t-/,/'L <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS or BUILDING PLAMS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SlTS Of ENGINEERED PLANS REQOIREO. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PBRN2TS REQUBSTED <br /> <br />o BlJI,tDING <br /> <br />:;I <br /> <br />VALUATION OF TOTAL CONSTROCTION <br /> <br />o ELl!:CTRIC.l\L <br /> <br />AMP SERVICE <br /> <br />o PrOare5$ Energy 0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />~ANICAL <br /> <br />$~~1-. o~ _ VALUATION dr MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOP'ING 0 SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTROCTION: 0 aLOCK <br /> <br />o FAAME <br /> <br />o 9T&:&:L <br /> <br />'0 OTHER <br /> <br />FINISHED FLOO~ ELEVArIONS <br /> <br />IS PROJECT IN nOOD ZON&: ARE.l\D YJi:S D NO <br /> <br />. . . I I <br />f , " <br /> <br />~..:.., .:...:........~~' ~ ~ 1......L............~. -~:- M - ....... - ~-- _ _ __ __ _ '__' _ M............ ___. . ~t ,~~ <br /> <br />BUILDER .. <br /> <br />CQNPAN'l <br /> <br />S IGNAT ORE <br /> <br />STATE CERT OR REGIST . <br /> <br />***+**~.****~*.*._......*.***********.*******~******************** <br /> <br />ELECT:P.ICIAN <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST i <br /> <br />.**.***+..*....****.*******.*******~********'*.*****...*..**....~~ <br /> <br />PLTJHSiU\ <br /> <br />COHPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />SIQ1.tATURE <br /> <br /> <br />.**.****~**..*.._..*.*.******.***+****++.***-*** <br /> <br />COKFAWY .Ll/tRJ)~ /J Ie CON,Dr //o..//IIIG //l./c <br />_ STA'!'&: CERT OR REGIS'? # CIte OJ''? t;3 3 <br /> <br />MBCHANlCAL <br /> <br />*.************.**._.*.***w******+*++.+~***.*+***..***...*** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNA'1'ORE _ <br /> <br />STATE C~RT OR REGIST t <br />