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<br />MAR/3.1/2005/THU 11: 40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8~B St, Z...phyrhi11a, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br /> <br />gd -7&CJ -5:1.77 <br />e'f-/-.llI3S <br />?!13 -~ 7(/7 - 5~ 71 <br /> <br />PHONE CONTACT FOR PE~:rTTING <br /> <br />Le..f\^OI.l <br />- 'rC/ _Dy <br /> <br />PHONE <br /> <br />SUBDIVISION C te 5f vrt \,J It; 1I $ <br /> <br />BLOCK <br /> <br />pARCEL ID * <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />c_- <br /> <br />WORK PROPSEO; <br /> <br />PROPOSED <br /> <br /> <br />(/ <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />o ADDITION DALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMOLTI-FAMILY Off OF UNITS o MOBILE HOME <br />o INl:\USTRIAL o SWIMMING POOL DOTHER <br /> <br />CONSTRUCTION <br /> <br />DSIGN <br />USE:~GL FAMILY <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVA~ ~) t? <br />}Jew sfR j MQd'e/: 6/""/LS?-TO/ ~d'~ ZOO ~ <br /> <br />SQUARE FOOTAGE Z Z ~ HEIGHT <br /> <br />BUILDING SIZE <br /> <br />nESCRIP~~ON OF WORK <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 />M BUILDING <br />o ELECTR:I:CAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />/ ZO} O~6 <br />, <br /> <br />./ ~O AMP SERVICE <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9f <br /> <br />o <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE: OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br /> <br />ELECTRICI.AN <br /> <br />SIGNATURE <br /> <br />pJ:.~ER <br /> <br />S:I:GNATURE: <br /> <br />MECHAN:rCAL <br /> <br />SIGNATURE <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~O <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />._.*************************.***********....- <br /> <br />~~.~~ <br />COMPANY ~J <br /> <br />~<l\5l0 ~~c <br />eRoO' 'I SOl , <br /> <br />STATE CERT OR REGIST t <br /> <br />COMPANY I)" \II~ Lovl'- ploIM\L.e: <br />STATE CERT OR REGIST It C F'C l ~ ~ (d~ <br /> <br />******... ...*** *** * *... **.... ...~*,............ *~***"'**r.* *.... <br />. COMPANY. f'''1 S f)~ A ~ . <br />. STATE CERT OR REGIST " CA<-OS-O Ltc (:) <br /> <br />=~ ~~~HH~HH'''':''::::':':''C:5~;r;;~H...m. <br /> <br />SIGNATURE ,,;..r- ~ _ STATE CERT OR REGIST It CC -CoS79<J I <br />