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<br />MAR/31/2005/THU 11:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P.002 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8"B St, Zuphyrhill.s, l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME~~ G,\fG{e\~lI.--- <br />JOB ADDRESS'755~ ~r70 .S:r: <br /> <br />Le.J\^t:\.l ' <br /> <br />PHONE <br /> <br />9;3 - 7{.,<1 - 5:J..77 <br />ey..J./(,3$ <br />~13 -~ 7 (,1' - 5~.:71 <br /> <br />~HONE CONTACT FOR ~ERHITTING <br /> <br />LEGAL DESCRIPTIO~: <br /> <br /> <br />SUBDIVISION <br /> <br />rh'lI $ <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />( <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />a ADDITION <br /> <br />D ALTERAT ION <br />a DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />aMOVE <br /> <br />DMOLTI-FAMILY <br />a IN~USTRIAL <br /> <br />a f OF UNITS <br />o SWIMMING POOL <br /> <br />a HOBILE HOME <br />DOTHER <br /> <br />DESCRIJ?".I:'l:ON OF WORK <br /> <br />r:::=:J RESTAURANT " <br />ew sf((' <br /> <br /> <br />DO.> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/.9-0Q <br /> <br />HE:rGHT <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 />$ <br /> <br />9S;98? <br />/__~ 0 <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />W' <br /> <br />Progress EneJ;"gy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK ' <br />FINISHED FLOO~ ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAa YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;O~ <br /> <br />STATE CERT OR REGIST I <br /> <br />SIGNATURE <br /> <br />******....*******..**********************************************- <br /> <br />.~ . COMPANY D~~ P4l\~(O ~e..Jp'c <br />e RoO 1 Lf SOl , <br /> <br />PLOHBER <br /> <br /> <br />STATE CERT OR REGIST . <br /> <br />ELECTRICIAN <br /> <br />*****~****.*************.*..************t*******.*** <br /> <br />SIGNATURE <br /> <br />=MPANY I)... ~ Lov~ pl"M~l"t <br /> <br />STATE CERT OR REGIST It eF'C t~~ (.;;}.<f <br /> <br />SIGNATURE <br /> <br />*****************************~*:****}b***.-**i*.. <br />COMPANY, to "1 'S f>/L A ". ' <br />, STATE CERT OR REGIST it CA<-OS"O 4c 0 <br /> <br />HECHANICAX. <br /> <br />OTHER ~~::~.......*. ~"*"*"":~;~:"~:;;~i;;;;"""'" <br /> <br />SIGNATURA .~; a~ ' STATS CSPT OR l<EGIST . CC -CoS79"J I <br />