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<br />APR/28/2005/THU 02: 14 PM ZEPHYRHILLS BUILDING <br /> <br />FAX No, 813-780-0021 <br /> <br />p, 001 <br /> <br />JOB 'ADDRESS <br /> <br /> <br />LEGAL DESCRIPTIONi <br /> <br />PARCEL ID It <br /> <br />/OBTil.IN FRoM <br /> <br />.oSIG~ <br /> <br />o ADDITION '~~TERATION" ' ' <br />o MOVE 0 DEMOLISH <br /> <br />'woRk PROPSED I DNEW CONSTRUE:TIO~': <br /> <br />o BUILinNG <br />'. t:i ELECTRICAL <br />o PLUMBING <br />, 0 MECHANICl\L' $ <br />fI~ '. 0 ROOrIN!?, ,0 SPECW.TY, <br />. TYPE or ~ONSTRUCTIObl ~i.OCK <br />FINISRED FLOOR ELEVATIONp <br /> <br /> <br />RESIDENTIAL.: ATTACH (2) PLOT PLANS & (2) SETS OF BuiLDING PLANS <br />COMMERCIAL; ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />'IF SIGN pERMIT ONLY, (2) SETS OF ENGINEERED PLANS REQUIRED. <br />P.lWPERTY SlJllVEY REQUIRED FOR ALL NEw, CONSTRUCTI <br /> <br />"\, <br />\ <br /> <br />":$ <br /> <br />\SbD <br /> <br />J?ERNJ:TS REQUESTED' <br /> <br />---- <br /> <br />AMP SERVICE <br /> <br />o ProgresB ,~,- - .. ,.. <br /> <br />n <br /> <br />o OTHER <br />b FRAME <br /> <br />o STEEL <br /> <br />, 6J t./6), t i. ~cfltyrh"'IJ. <br />.f(. US <br /> <br />, @() 10 ~. <br />, ~tl"IT f\f'f1I-IC., <br />o · ~LbG r~' <br /> <br />VALlJATION OF MECHANCr.l\ <br /> <br />_...___ .._ ._.M_.,.-._._.....,... <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 N <br /> <br />BUILDn <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />. , <br />. . . <br />************************.*********~******~*************...*.~.*~*. <br /> <br />Iil;LilC~CWf <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # ': <br /> <br />******************~*********************************************** <br /> <br />PL~ <br />SIGNATORE <br /> <br />, COMJ?ANY <br /> <br />STATE CERT OR REGIST # <br /> <br />HllCaANXCAL <br /> <br />**********.*********.**~***************************.************** <br /> <br />: COMPANY <br /> <br />~?~ //~ <br /> <br />'. . , *******~*****'********************************.**..*****~***~*_":* Jzft.~ v' <br /> <br />OTID:S\'~~ '\0.) ))tJD . , , . COMPAN~ ~ \~ ~ (f) <br />SIGNATU~~ ',"" () \>..-~ _, . ' S~~TE ~ERT. OR REGIST . . \ '\ \ ~ <::) <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />