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<br />APR/05/2005/TUE 10: 11 AM ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 001 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION . <br />BUILDING Dl!:PARTMilNT 5335 e'R St, ZephYl:'hil1s, n.. 33542 ...'f'ID,;J.. <br />813-780-0020 FAX,813-?80-0021 <br /> <br />PHONE CON'tACT FOR <br /> <br />DATi: RECEIVED <br /> <br />PERMITTING::J; m M:Y <br />. / <br /> <br />-?&J~lo ffrd~ <br /> <br />OWNER'S NAME . , PHONE. <br /> <br />JOB ADDRESSCO~ IClttcPTnJI-t s-1i-~'q l/rlI I'f( - 391bCOf/ ehncl131v~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION. <br /> <br />PARCEL 10 # <br />WORK PROPSED, [JNEW CONSTRUCTION <br />[J SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />)(COMMERCIAL <br /> <br />rORTATN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[JMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# of UNITS <br />[J SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESClUPTION OF WO!U( tv{./N' ?LL)jY)R"UC SY5Tlrn foil. I\JE~' nu...'CK.. PLtt.J\JT <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[] ELECTRICAL <br />~ PLUMBING <br />[] MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o Progress Energy [] <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION 6F MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />[] ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTIOIlI': 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br />~3,'.~.c'-=-';=" '.--..... '_';' 1 ~_ -_~ __. ' _ : . " ~~_~' ._,:-:,~; <br /> <br />SUILDIi:R <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 />STATE CERT OR REGlST * <br /> <br />n*** *** * ** * ** * ** * * * * * * *** *** ****** * **. ************ * ** * * ~********** <br /> <br /> <br />""""",. -4 1/ r1fJJ~ COMP^"' tV ,1. /UQI'.l'J'Yl1W ;JWIYlI3I1IC <br />SIGNATURE 1* *:=::**H**~**H*:~***HH*****~~~~~*:::~*~~*~~~~~:*:**~~~~ '5&';6;) / <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br /> <br />********************************************~.*~*~*************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />