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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 RECK IVED <br /> <br />OWNER'S NAME 1)5 <br />JOB ADDRESS '1 ~ I q <br /> <br />~f'\t. Cc\rC[?\~lIr- - Lf.-f\^OLt <br />/'?'/'~r{::h,~/i///k Cr-. <br /> <br />PHONE <br /> <br />9,3 - 7&Cj - 5;1..77 <br />e>f+./(,3$ <br />?l13~ 7&1. - 5~-n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Cte5Ivr-ei-J M;lls- <br /> <br />PARCEL ID ft <br /> <br /> <br />-- C? <br /> <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OHULTI-FAMILY <br />o INo.USTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />OESCRI~J:ON OF WORK <br /> <br />r=:J RESTAURANT <br />(!W sfR.. <br /> <br /> <br />~ <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />M BUILDING <br />o E:LECTRrC..AL <br /> <br />$ /O~ 2/0 <br />~o AMP S1':RVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION 6F MECHANCIAL INSTALLATION <br /> <br />o GAs 0 ROOFING 0 SPECIALTY <br />TYPE 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 />S:rGNA;O~ <br /> <br />STATE CERT OR REGIST . <br /> <br />:ELECTRICIAN <br /> <br />.*****.***********.*********~***********.*******.....************* <br /> <br />c::::_ ~.+ <br />COMPANY ~J <br /> <br /> <br />p~S(O ~dPc <br />eRo01LfSOl.\ <br /> <br />SIGNATURE <br /> <br />STATE cERT OR REGIST . <br /> <br />PLUMBER <br /> <br />m.....ANy l)", Vl-J. LOIl~ plJM\l"t <br />STATE CERT OR REGIST ~ ere- l~~. (d-Cf <br /> <br />SrGNATURE: <br /> <br />..- <br /> <br />MECHANXCAL <br /> <br />**....*~*.*......*** ..* ....... .******+...*:"**.**.**l**~t.*;*,***"'r*t*.****r+*.* <br /> <br />COMPl\NY~fi""1 ~J..Qf)~ A~ . <br />. STATE CERT OR REGIST it CA<--OS'O Ltc (:) <br />-'" <br /> <br />~~a ~~~.... ~ H......... .~~~;;:,: He: s[:;i;; ~......... <br /> <br />SIGNATURE ",'" STATE CERT OR REGIST * CC -CoS799/ <br /> <br />SIGNATURE <br />