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<br />. APF'/i)7/2005/THU 04.33 nl ZEPHYRHILLS BUILDING <br /> <br />FAX Ne. 813-780-0021 <br /> <br />C%~Y OF ZEPHYRHILLS P&KNIT APPLICATION <br />~UlLOING D.PAa~T 5335 8- St, Z~yrbil1., r.L 33842 <br />813-780-0020 ~AX:e13-'80-0021 <br /> <br />P. 001 <br /> <br />DAD a:.CIlIVEl <br /> <br />1>HONi: COlilTACT I'Oa 7i'JUlMZ'J!II!INQ <br /> <br />. I <br />OWNER'S NAME JIifJ1€!.). ! ;Yj;~'1 W4Lt.,4CC:= <br /> <br />JOB ADDREaS E'lt1etZt.lLd'1b. Ni ~ c...o1' 2.4 L. <br /> <br />(.f Tf4cJle:l- LEGAL DEseRI FT ION: LOT (3) BLOCK <br />PARCEL 10 41 2Lj-Lb-L/-0070-a:Jooo-2Hl...O <br /> <br />Pn:JE <br />?5:l <j rr/,'r1',.e. cb. <br />SUBDIVISION ~ ~ etZ.#.4 <br /> <br />K>i.~~ <br /> <br />rORi'ATN <br /> <br />FROM PRO~ltll'!'Y XAlLNOTICE I . <br /> <br />o REPAIR ~STALL <br />C!,4t<J',E~/.5111Y'7 {l)/IIc,zeloQ. IJ"*:/ <br /> <br />WORK PROI?91i:D, DNli:W CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />DAL1'EaATION <br />o DEMOLISH <br /> <br />OsrON <br /> <br />o MOVE <br /> <br />I?RCP09E.D USE: DSGL FJlMILY DweLLING <br />DC01lolMSRCIAL <br /> <br />lJHULT:;:-E'~IL,{ <br />lJ INDOSTRIAL <br /> <br />at OF U~lITS <br />lJ BWIMMltJG POOL <br /> <br />lJ MOBILE HOM]!; <br />Cl OT HER <br /> <br />c:J Rli:STAUAANT & IlIUU.TH DEPMTMEN'l' APPROVAL <br /> <br />64,0 $AtdiA-1y .!J0t1.f. 4/-~~.Al:t\ VM;'AI~ <br />SQUARE FOOTAGE /O'(lv :=. ZOo HEIGHT ____ <br /> <br />DJ:8CR.IPTION OF WORK <br /> <br />~t1l""LI.&.~G SIZli: <br /> <br />RESIDENTIAL: ATT."CH (2) PLO-r PLANS" tZ)Si:TS or BIJILDIIllG PLANS & (1' SET ENERGY !!'C)RJ:4S. <br />COHMERCIAi.: ATTACH (3) SETS OF BUILDING l?L.IWS " ell SET ENERGY !"ORMS. <br />IF SIGN pg~~IT ONLY (2' SETS O~ ENGINEERED PLANS ~EQUIREO. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o HmcHANIClU. <br /> <br />$ ~500~ <br /> <br />PE!tMITS UQUSSTBD. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ANI? SEP.VICE <br /> <br />o Proqress En$~qy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />o GAS <br /> <br />Cl ROOFING <br /> <br />Cl St!!;CIALTY <br /> <br />VALOATION OF HECHANCIAL INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONSTRIJCTI01~: 0 BLOCK <br />FINISHED FLOOR ~LEVATrONS <br /> <br />lJ FRAME <br /> <br />lJ STl!:l!:L <br /> <br />o OTHER <br /> <br />IS PRO,JEer IN FLOOD aONE: AREACl YES D NO <br /> <br /> <br />~TATl!: CERr OR REGISI I <br /> <br />*~....*.*.**.*.****....**.**.*.*.......~..**.***~*.*.*.~*...*. <br /> <br />J:LECrIlICIA1;r <br /> <br />COHE'ANY <br /> <br />SIGNATURE <br /> <br />STATE cERT OR REG!ST I <br /> <br />********..*.***.w****.~..~..*...*.******_**...*..**w.............. <br /> <br />P~Il. <br /> <br />COMi'AN'i . <br /> <br />SIGNATURE <br /> <br />STATE CEIlT Oil REGIST I <br /> <br />Hi:~.QA1; <br /> <br />w***..*..*.*..**.*.*..~*.*.**..*.*~***.**.*.****.**.****....*....* <br /> <br />COt4PAN~ <br /> <br />SI<i1NATURIi: <br /> <br />STATE CERT OR REGIST * <br /> <br />.*~*w...****w**....*~~~****..***,.~..*.w....******.**.***~*****.~* <br /> <br />O!l'HIUl. <br /> <br />COHl?J\NY <br /> <br />SIGNATURE <br /> <br />STATE CERT OE REGIST f <br />