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<br />M),R/31/2005/THU 11:40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8"a St, Zephyrhi11.s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />P.002 <br /> <br />DATE Rli:CEIVED <br /> <br />OWNER'S NAME IJS ~fI\t.. G,\fCfA.~D.,-. <br />JOB ADDRESS -7(;tJ,/ Je'"F7C? sr <br />LEGAL DESCRIPTIO~: l?/;CO <br /> <br />Le.-A^qj , <br /> <br />PHONE <br /> <br />9H - 7(// -5:1..77 <br />e"1-f.I1635 <br />~ t3 -~ 7 (/i - .5 ;1.:1> <br /> <br />PHONE CONTACT FOR PE~ITTING <br /> <br />PARCEL ID * <br /> <br /> <br /> <br />SUBDIVISION CresfVf-ei,J th'lI$ <br /> <br />BLOCK <br /> <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <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 />DWELLING <br /> <br />DMULTI-FAMILY <br />o INQ.USTRIAL <br /> <br />o It OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTJ:ON OF WORK <br /> <br />C:J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />A/JQC/e/: b/~c?n.C/~~ ZOt?.5 <br />-:7 177_'6 <br />SQUARE FOOTAGE ~ r. <br /> <br />sfR. . <br />) <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILD1:NG 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 ELECTRICAL <br /> <br />PERMITS REQUESTED <br />:;> /?>~ 2/0 VALUATION OF TOTAL CONSTRUCTION <br />,/ ~ C:;-O AMP SERVICE i}(' Progress Energy 0 <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 ELEVATIONS <br /> <br />o 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;O~ <br /> <br />STATE CERT OR REGIST It C/3C/ZS/cf-4l. <br /> <br />SIGNATURE <br /> <br />****** ***********.**** ***.*********...********.***************- <br /> <br />~~ COMPANY Ds..J. P45lo ~~(; <br /> <br />/~~~ ,/" STATE CERT OR REGIST" e RoO 1 Lf SOl' <br /> <br />***.....w****************************...*********..*************** <br /> <br />ELECTRICIAN <br /> <br />PLOHBER <br /> <br /> <br />COMPANY \)... Vi~ LOlli'- PI"M\l..~ <br />STATE CERT OR REGIST ~ CF"C lofd- (';>-"1 <br /> <br />SXGNATURE <br /> <br />SIGNATURE <br /> <br />**** *..........,* ** * ***** ..... *** * *~*,* ** *'*1-1>**** **(. **.* <br />. COMPANY. f'''1 ':::> OiL fir '- . <br />STATE CERT OR REGIST . CA<-oS-O tf( (:) <br /> <br />MECHANICAL. <br /> <br />.' <br /> <br />OODER ~~;:~".'~'~'~"""""""~~:~:"~:;;~f;;;;"""'" <br /> <br />SIGNATURS _ -- -~= STATE CERT OR REGIST t C~ -CoS79"J I <br />