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<br />./2005/THU 11:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8"8 St, Z...phyrhil1s, 1!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />Ll-^^otl ' <br /> <br />PHONE <br /> <br />913 -7~Cj -5;1..77 <br />e'f-J-. ',,3$ <br />'b 13 -~ 7 (/l - 5 ;1..:71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />SUBDIVISION Cr-e5/vft\,J lh'iI$ <br /> <br />BLOCK <br /> <br />WORK PROPSEO, <br /> <br /> <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL. FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INQ.USTRIAL <br /> <br />0,. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />OESCRI~XON OF WORK <br /> <br />c=J <br />/Jew <br /> <br />RESTAURANT &. HEALTH DEPARTMENT APPROVAL ~ <br /> <br />sf{( j A/J~/: '&/~P1 ~&~ ZOO.s <br />SQUARE FOOTAGE 207b HEIGHT <br /> <br />BUILDING SIZE <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 SrGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION.. <br /> <br />M BUILDING <br />o ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ /t?~/ 2/0 <br />/. S-o <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~. <br /> <br />Progress Energy <br /> <br />o <br /> <br />W..R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />D OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;otE <br /> <br />STATE CERT OR REGIST I Ci3CI2S/rf4G. <br /> <br />SIGNATURE <br /> <br />*..**********************************************...-**.****.****~ <br /> <br /> <br />6~ :::::N:-!:":~ R~:: ~~o, 'lsq I <br /> <br />ELECTRICIAN <br /> <br />PLOMBER <br /> <br /> <br />*****.***************************************** <br /> <br />SIGNATURE <br /> <br />\').... "'~ Lov}" P)JM~,l"t <br /> <br />STATE CERT OR REGIST # e F"C t f d {.;)-C{ <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />· *.******** *** *****... * **.. *.. ...~*,,,, ** **r;**** **(.* *.* <br /> <br />COMPANY. f' "1 S niL A <.... ~ <br />STATE CERT OR REGIST it CA<- os-o If( 0 <br /> <br />MECHANICAX. <br /> <br />OTHER <br /> <br />*..*.......J.........a.-** <br /> <br />~\i1'1 <br /> <br />******w********.**************....***....*******.******* <br /> <br />of' COMPANY C. SJ-..rL'A r <br />./~ - STATE CERT OR REGIST . C<' -CoS79"j I <br /> <br />SIGNATURE <br />