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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 ZEPBYRHILLS PERMIT APPLICATION <br />BUJ:LDING DEPARTMENT 5335 8"8 St, Z...phyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME lJS ~f'\t. Cc\rC~~Dr- <br />JOB ADDRESS 79/~ . /r7e"rCh~/"iA / ~ <br /> <br />Lf.-A^OLt <br />Ct-'. <br /> <br />PHONE <br /> <br />9/3 - 7~'1 -5;1..77 <br />ey..f.I(,3$ <br />?l13~ 7 (/j - 5:J.. 71 <br /> <br />PHONE CONTACT FOR PEPMIT'l'ING <br /> <br />PARCEL ID it <br /> <br /> <br /> <br />SUBDIVISION Cre 51 vrt i-J ti; II S" <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o ALTERAT ION <br />o DEMOLISH <br /> <br />o F.EPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o I No.USTRIAL <br /> <br />DIf OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT &.HEALTH DEPARTMENT APP~L ~ <br /> <br />N(!vJ sfR. j A/1QoIe/: .6//,-~( r '#n* Z&l?3. <br />SQUARE FOOTAGE Z Z8-Y HEIGHT <br /> <br />OESCRI~J:ON 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 ENE:RGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o E:LECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ /ZO/C/[j'6 <br />/ <br />/. c:;- D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SE:RVICE <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D OTHER <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 />BUILDER <br />SIGNA;UtE <br /> <br />STATE CERT OR REGIST . <br /> <br />SIGNATURE <br /> <br />6~ <br /> <br />*************.*.******.*.***.**********~ <br /> <br />COMPANY /5t~'+ P45l.o <br /> <br />STATE cERT OR REGIST . <br /> <br />tJ~(; <br />~ Roo, LfSOl' <br /> <br />ELECTRICIAN <br /> <br />*****...-**************..*..************..************~*******.*** <br /> <br />~. ~ COMPANY t)",vj<{ Loti}" pl"",\,l"t <br /> <br />STATE CERT OR REGIST ~ CF'C t.{~ (.;)'1 <br /> <br />***::***.**~ ***********************..**l**~t:;*:****t:******r*** <br /> <br />~. COMPANY-.-~f'''1 'S-u:oe. Ats. <br />STATE CERT OR REGIST . C-A<::..-- 05" b iff (:) <br /> <br /> <br />PLOMBER <br /> <br />srGNA'l'URE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />~""R b~~~H m. '" ',:;ji' H......... ':~~:;;':"c: 5~L:; ~.. . ...... <br /> <br />SIGNATURE .....~~. STATE CERT OR REGIST It CC -CoS799 I <br />