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<br />),F'R/07/2005/T1W 04.33 F'}l ZEPHYRHILLS BUILDING <br /> <br />FAX Nc 813-780-0021 <br /> <br />POOl <br /> <br />CZ~y or ZEPHYRHILLS ~BRN7~ APPLICA~ION <br />2UILDING DEPARrNZHT 5338 aW St, Zephyrh111e, rL 33843 <br />813-780-0020 ~AX,e13-'eO-002~ <br /> <br />DAD kIIC1l:tYml <br /> <br />PHONi: CC6TACT I'Oa J'&JUdl:'l!'l!INQ <br /> <br />OWNER'S NAME ]):)vII) fGer"'qJ~ {!119~. . <br />JOB ADDuasLoT 262. lEmPd/j,4J /lJi4e... <br /> <br />35~1 <br /> <br />PHONE <br />-roll; ty-... (( ~-' cLr. <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 r,Zlf-Clr 2../- <XY7u -C(X;a) - 2JoZ-D <br /> <br />SUBDIVISION <br /> <br />(()R1'l\TN >'RflM ~R()~ltRTY ~JiOTICE I . <br /> <br />WOIU< PROPSIW: o NEW CONSTRUCTION o ADDITION OAL1'I!:RA'rrON ORE~AIa o INSTALL <br /> OgrON o HOVE 0 DEMOLISH <br />PRCl?OSE.D aSE: OSGL !"~ILY DWeLLING OHULTI-"~IL~ Of OF U~ITS o MOB ILE HOM)!; <br /> OCOMMSRCIAL o INDUSTRIAL o SWIMMING POOL Cl otHER <br /> <br />CJ RESTAURA..'1T & HEALTH DEPARY1E~'r APPROVAl.. , <br /> <br />DE8CRIPUON 01' WOlUCL'I4(Jna/lt{oA.k!Me hM- setLd~NfJ }Z4I.tf/~ <br /> <br />aUILDUIG SIZE SQUARE FOOTAGE HEIGHT _____ <br /> <br />RESIDENTIAL, ATTACH (2) PLOT PLANS & (ZlSETS OF BUILDING PLANS & (1' SET ENERGY ~)~~S. <br />C~4ERCIAL: ATTACH (3) SETS OF BUILDING p~~s , (l) SET ~NERGY Fo~re. <br />I~ SIGN pe~~lT ONLY (2' SETS O~ ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> 190a PERMITS REpOCSTKD <br />o BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL ANP SERVICE 0 i'roqx..... En9l:qy 0 W.R.E.C. <br />o PLUMBING <br />o MECHANICAL (I VALUATION OF HECHANCIAL INSTALLATION <br />CJ GAS ClI\.OOFING Cl So>:o.;CIA.LTY CJ OTHER <br /> <br />TYPE 0.' CPNS1'RlJCTION: 0 BLOCK <br />FINlSHSD ~LOOR ~LtVATrO~S <br /> <br />o ~'RAME <br /> <br />CJ STEEL <br /> <br />o OTHER <br /> <br />IS PRO,TEeT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />~OI1PANY .a4l'/J;f;/'p~ ~;- <br />~ ~.?"L . 8TA'l'E CERT OR REGISr ICt5CJ}4$b~~ <br /> <br />.~.......*...*.**.*.....***...*..........*...~......*........... <br /> <br />J:LECrB.:rCIAN <br /> <br />COME'ANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR !lEGIST I <br /> <br />****..**~.*.****.a***.*........**..*****.**..***.**ww*.**......... <br /> <br />PI.UNIlilP. . <br />SIGNATURE <br /> <br />COMJ?ANY <br /> <br />STAT~ CERT OR REGIST I <br /> <br />I'.li:ClWiJ:CAL <br /> <br />w**~..**....~*.*****..~.**w.****.w.*.*.***.**.**..*._*~**c*.*..**. <br /> <br />COKi'A1~Y' <br /> <br />SIGNA'rURE <br /> <br />STATE CERT OR REGIS'!' * <br /> <br />.*..**~~***~~.**..**~~.*..***~~.~*..~.w.**..*.****..****_~**.*~~* <br /> <br />OTltlIB. <br /> <br />COMPANY <br /> <br />SIGNATORE <br /> <br />StATE CERT OR REGISt f <br />