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<br />MAR/31/2005/THU 11:40 AM <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P.002 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUJ:LDYNG DEPARTMENT 5335 arB St, Zuphyrhi11.a, J!'L 3:3542 <br />813-780-0020 ~AX:813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />us t\o~ LctrC{4l~Dr-- <br />'litlo ~no ST <br />0/20 - <br /> <br />9;3 - 7~CJ - 5;1..77 <br />ey..-I. /f63$ <br /><tt3 -~ 7(/j - 5;1.. Y> <br /> <br />FHONE CONTACT FOR PERMITTING <br /> <br />Ll-f\^ct.l - <br /> <br />PHONE <br /> <br />SUBDIVISION Cr-e5/V~\,.J lfill5 <br /> <br />BLOCK <br /> <br />PARCEL ID * <br /> <br />LEGAL OESCRIPTIO~: LOT(S) <br /> <br />M <br /> <br />WORK PROPSEO, <br /> <br />PROPOSED <br /> <br /> <br />RT <br /> <br />N <br /> <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />DsrGl'l <br />USE~GL. FAM1LY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />D IN~USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />New sfR j .A/l~oIe/: <br /> <br />zoos- <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTXON OF WORK <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 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 />~ BUILDING <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />:;; /26/1 6~b <br />ZOo <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9f <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTIfER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SrGNA~utE <br /> <br />:SLECTRIC:I:AN <br /> <br />SIGNATURE <br /> <br />PLOMBER <br /> <br />SIGNATURE <br /> <br />Ml!:CHANJ:CAL <br /> <br />SIGNATURE <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />STATE CERT OR REGIST I Cf3C /ZS- /tf4.l.. <br /> <br />***********************..********....************- <br /> <br />c:::: - ~..J. <br />COMPANY ~... <br /> <br />P4l\SW ~~<: <br />e Roo, LfSOl' <br /> <br />STATE CERT OR REGIST I <br /> <br />***~**********.****_***...*******.**************k* <br /> <br />COM~ANY lJ... v)lI( La \I J<- pI J M ~ l" ~ <br />STATE CERT OR REGIST I CF"C l~~ (.;}.'1 <br /> <br />"'..*. *** * **.*. **.... *" "'. '" *~*,... .r"l-'b* .** **(. * *.. <br />COMPANY. Pi "1 '::> ()~ A ~ . <br />STATE CERT OR REGIST .. C,.A<-os-o L{-( (:) <br /> <br />e..,~::~" 4............ .. '::::':':"c" s[:;i;:~""'" ... <br /> <br />SIGNATURE ./ STATE CERT OR REGIST * CC -CoS7 9 Cj I <br /> <br />OTHER <br />