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<br />MAR/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"'B St, Zephyrh:i11...., FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />owNER'S NAME lJ 5 &ft\t. Lc t f Cf^~");r- - Le..A^oU:7 " <br />JOB ADDRESS ,19/3' ,/?1'-t:'rc~"'1P7Tf////l"' L.// <br />(JtZ(jLOCK <br /> <br />PARCEL ID * <br /> <br />WORK PROPSEP, <br /> <br />PROPOSED <br /> <br />P.002 <br /> <br />DATE ~CEIVED <br /> <br />PHONE <br /> <br />9'5 -7(/1 -5:1.77 <br />e'f-f. /(,3$ <br />~t3 .~7~1' - 5:L 71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />SUBDIVISION <br /> <br />C.r'e5fv~\,J 11>'11$ <br /> <br />(? <br /> <br />RT <br /> <br />N <br /> <br />M <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OS:IGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMOLTI-FAMILY <br />o INo.USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOS:ILE HOME <br />DOTHER <br /> <br />[=:J RESTAURANT to. , HEALTH DEPARTMENT APPROVA.L /) /fl <br />Ale IN sf {( j A/1qc/e/: Co /0 n /'-.4 / L.;zLA"rl Lx.. <br />SQUARE FOOTAGE ~~t/C7 HEIGHT <br /> <br />200-$ <br /> <br />BUILDING SIZE <br /> <br />OESCRI~XON OF WORK <br /> <br />RESIDENT:IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCrJ\L: ATTACH (3) SETS OF BUILDING PLANS & (1.) SET ENERGY FORMS. <br />IF srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQOIREO_ <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />o PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />.9s-: 98'7' VALUATION OF TOTAL CONSTRUCTION <br />../."'>0 AMP ~~RV~~E W' Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLoo~ ~L~VATIONS <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 />. <br /> <br /> <br />BUILDER . . '--. COMPANY US Me. CC 0"'\ ~r, "-- - e.l'\/'vAr- <br />. SrGNA;U~ " . ... ~TAT~ CERT OR REGIST J Cf3C /ZS-/~4'z.. <br /> <br />:BL:BCTRICIAN <br /> <br />SIGNATURE <br /> <br />In.'OMBER <br /> <br />SJ:GNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />**.*****~***********.*******.**.***.******.*.* <br /> <br />COMPANyP$~ P4510 t:)e.JDc <br />e Roo, LfSOl.' <br /> <br /> <br />STATE CERT OR REGIST . <br /> <br />~****~********.***.**.********.****~*********.* <br /> <br />COMPANY l)... ~ LollI'- plolM~l,,~ <br /> <br />STATE CERT OR REGIST .. CF"C If ~ (.;)-<f <br /> <br />...... *w.........*......... **..................... ...~*,*......... *~ w*** **(.'" *.* <br />COMPANY. Pi "1 S OiL A <... ' <br />STATE CERT OR REGIST .. CA<- oS-C Lf( 0 <br /> <br />OTHER <br /> <br />~~::~""'~"""""""':~:~:"~:;;~i;;;;"""*" <br /> <br />SIGNATURE ,. ~ STATE CERT OR REGIST * C C - Co S 7 9 <J I <br />