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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 />O~NER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8,"8 St, Zuphyrhi11.s, l!"L 33542 <br />B13~7aO-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />lJS ~ft\t. LctfcrJ1ir- -, <br />'79'?..'f ~,..ch4-YJh.// / /c <br /> <br />fjl3 - 7('/} -5:1.77 <br />ey..J./t,35 <br />?lt3~7~1' -.5.2..71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />Le..A^OL! <br />~'Y <br /> <br />ere 5/ v~ \,J If,' II $ <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />pARCEL ID * <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />M <br /> <br />RT <br /> <br />WORK PROPSED. <br /> <br />PROPOSED <br /> <br /> <br /> <br />N <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />CONSTRUCTION <br /> <br />DSIGN <br />USE ~GL FAMILY <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o IND,USTRIAL <br /> <br />o It- OF UNITS <br />OSWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />c=J RESTAURANT '" HEALTH DEPARTMENT APPROVAL/? /J <br /> <br />/Jew sf{( j Mr;oIe/:. t1/44~n L:?r~d"c- <br /> <br />SQUARE FOOTAGE ZO 76 HEIGHT <br /> <br />~CJD3 <br /> <br />BUILDING SIZE <br /> <br />DESCRIP'.r:lON 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 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 />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ ./0.9/2/0 <br />~S-O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTflER <br /> <br />o G'AS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <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;UtE <br /> <br />ELECTRIcIAN <br /> <br />SIGNATURE <br /> <br />PLOHBER <br /> <br />sIGNATURE <br /> <br />MECHANICAL. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST It Cl3c/ZS/<l4-L <br /> <br />*.****************.***.***************~***.~*****w.****.********** <br /> <br />~ - ~..f- <br />COMPANY ~J <br /> <br />/~ <br /> <br />P4~(O ~e..J,r(:: <br />e Roo, LfSOl' <br /> <br />STATE CERT OR REGIST . <br /> <br />....*.*.******************************.***************~*********** <br /> <br /> <br />I)... Vl-.{ LOo/}f- pI J N\ \..~ <br /> <br />STATE CERT OR REGIST # C F"c..- l ~ d- (,d.Cf <br /> <br />COMPANY <br /> <br />.. **.******* ******** *.. *.. * * * *~*....*... * *~*l--t***w **f * *.* <br />COMPANY. f' "1 ':::> f)il, A '- . <br />STATE CERT OR REGIST it eAC- oS-C tf( (:) <br /> <br />=uga ~~~H"~WU"" .. .::::: He :50L:~ ~. U,"'" <br /> <br />SIGNATURE ,.. . , STATE CERT OR REGIST It C<.'. -CoS79<J I <br />