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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"8 St, ZQphyrhi11s, FL 33542 <br />813-780-0020 VAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME lJS~fI\t.. G,trCf^~"'b.-- <br />JOB ADDRESS?5lf~......Jc'P'?o ->T <br />LEGAL DESCRIPTIO~: LOT(S) Oi~O <br /> <br />Le..A^cU ' <br /> <br />PHONE <br /> <br />9u - 7{pCj - 5:1.77 <br />e'f-f./I43$ <br />~'3 ':'7~1- 5:J..:n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID it <br /> <br /> <br />-2/- <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />1-h'lI $ <br /> <br />N <br /> <br />PROPOSED <br /> <br />DSIGN <br />USB~GL FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />D DEMOLISll <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSEO, <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INo,USTRIAL <br /> <br />D. OF UNITS <br />D SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />/Jew sf(( jA/11;>cI'e/: t::Jx-A,I// cOt? 3. <br />SQUARE FOOTAGE /9 co <br /> <br />HEIGHT <br /> <br />DESCRIPTION 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 srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED_ <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br /> <br />$ /t:?~,F/v <br /> <br />./.s- 0 AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />Progress Energy <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 /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYP~ OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR EL~VATIONS <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD Y~S <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;utE <br /> <br />STATE CERT OR REGIST I <br /> <br />***********.*********...*************w <br /> <br />SIGNATUR~ <br /> <br />.d:>> .. COMPANY ~S.+ P4$lo ~e.J.pc <br /> <br />::~:*~******...*******::~::*~:::*~:*::::::*:*.*:*~~~~~~, <br /> <br />ELECTRICIAN <br /> <br />P:l.OMBER <br /> <br /> <br />COMPANY l:l... \II~ Lotl}<- PI"",,~!.~ <br />STATE CERT OR REGIST . e ~C l ~ ~ (.;)-"1 <br /> <br />sIGNATURE <br /> <br />SIGNATURE <br /> <br />*****.****.***********~*:****r;***w**r.*** <br />. COMPANY. f'''1 S f)~ A <..... . <br />. STATE CERT OR REGIST it CA<:-OS-O if( (:). <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />~\i::~"""~""""""":~:~:"~:;;~i;;;;"""'" <br />SIGNATURE ~ ~ STATE CERT OR REGIST i CC -CoS799/ <br />,/' <br />