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<br />OCT/04l2004/MON 04: 08 PM ZEPHYRHILLS WILDIN:: FAX No, 813.780-0021 <br /> <br />CJ:TY . OF ZBPBYRBJ:LL8 PBRM:I:'l APPLICA!'J:ON <br />BOIIDINQ DlIPAJI.'JHDft' 5335 8D St, lephyrhill., I'L 33542 <br />813-780-0020 rAX:813-780-0021 <br />. DA'.l'Z 1UI:Cl:1ftD <br />. ...... ""'""'" "'" ~..... 8 [3 ~ OJ 1 (, - 9'1f:, S; rn OA.!; CA <br />,""',.'. """ 5'c.h l~ u SIlk~I1JF-..~.oj. L.,r~~~~ 01 ~ WdsON <br />JOIlADDus.'3g~~3-1~~ ~l ~h~r~l~ "'33_0 . <br />LEGJir. DESCRII'TION: LO't'(S) 1\..... '"'2- BLOCK ~q SUBDIVISION ~ t:rf" Zepn~ rk( lis <br />PARCEL 10 t l(..J.b" 21"OlH l)402~DO"O 11 0 <br /> <br />P. 001 <br /> <br />IOB~ArN FROM E~np~RTY~AX NO?TCr.\ <br /> <br />WORK PROPSED, ONEW CONSTll.UC'.!'ION' <br />o SIGN <br /> <br />o ADDITION <br /> <br />OALTERATlON <br />o OEHOLI!i8 <br /> <br />CJ REPAIR <br /> <br />CJ INSTALL <br /> <br />o MOVil <br /> <br />PROPOSED OSE: DSGL fAMILY DHELLING <br />o COMMERCIAL <br /> <br />DNULTI-l7IMILY <br />o INDUSTRIAL <br /> <br />0, OF DNI-rs <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />o O'l'HER <br /> <br />BOILOING SIZE <br /> <br /> <br />CJ RE8TAURJINT .. HEALTH DI:PARTHENT APpR <br />ce W. r\tJ.rwc; s j <br /> <br /> <br />DBScatMIOII or 110M <br /> <br />SQUARE FOOTAGE <br /> <br />REIGU <br /> <br />RESIDElIl'l'IAL: ATTACH (21 PLOT PLANS.. (2) SETS or BUILDING PLANS, (1) SET ENERGY FORMS. <br />ClHtERCII\L: ATTACH (3) SEt8 OF BOILDING PLANS (. (1) 8E! ENERGY FORMS. <br />IF SIGN PERMIT ONLY (~) SETS OJ' ENGIN1!:t1\tO PLANS' REQUIRED. ~ '-. - <br />PROPERTY SURVEY REQUIIU:D FOR ALL NEGf CONSTRDCTION. / .J <br /> <br />~.c:. <br /> <br />f?l-)) t. <br /> <br />PBRMJ:TS RBQUIlS'rBD <br /> <br />o ELECTIlIC)U, <br />o PLUMBING <br />o MECHANICAL ~ <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />o Proqress Energy 0 <br /> <br />If.R.E.C. <br /> <br />"0.. \ u.. ..e... <br />~"31q 00 · 00 <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />, <br />AMP SERVICE <br /> <br />'. <br /> <br />~ ='~(JI;;~I~N~;.;;r4 ~ ~ I V- +n-- '5 i ~ <br /> <br />TUE OF CONSnOCTION: 0 BLOCK . 0 FRAME <br />FINISHED FLOOR ELEVATIONS <br /> <br />o STEBL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES CJ NO <br /> <br /> <br />SI <br /> <br />~. <br />r< INc.. A '.fr~b W .I\'t~ <br />STATE CEkT OR RJ:GIST t, Q~ C. 0 l d. S ~8 <br /> <br />................****.********... <br /> <br />n.JICfiUCJ:Al( <br /> <br />COMPANY <br /> <br />SIGNATURi: <br /> <br />STATE CERT OR REGIST t <br /> <br />......*........*.**...*.*.~*.*..***.***..*......*******.*.***..*.* <br /> <br />~ <br /> <br />COMPANY' <br /> <br />SIGNATURlt <br /> <br />STATE CERT OR REGIST f <br /> <br />...w*w~**....*.+*.+*.*.*....**...*.........*.w***..*.....****..*** <br /> <br />NSClUl:laCAL <br /> <br />COMPANY <br /> <br />8IGNATORE <br /> <br />STATE CERT OR REGIS! I <br /> <br />..*...+.........*~....**.*..................*~..*..*.*******...*. <br /> <br />0'!HZJl <br /> <br />COMPANY <br /> <br />r, <br /> <br />SIGNATOP.E <br /> <br />STATE CERr OR REGIST I <br />