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<br />MAR/31/2005/THU 11:40 AM . ZEPHYRHI LLS 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",phyrhi11.s, FL 33542 <br />813-780-0020 FAX: 813-760-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME US ~f'\t. CctftrJlIr- - Lf.-f\^OLt <br />JOB ADDRESS "1CJ 2.5 f'?'l'r'Y(- h.4YJ /v14 e-" <br /> <br />PHONE <br /> <br />9,3 -7(,9 -5;1..77 <br />e>f+. /(,35 <br />?ll3 -~ 7(/j - 5:J.. 71 <br /> <br />PHONE CONTACT FOR PEltHITTING <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br />PARCEL ID it .3S--Z~--Z <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C fe 51 vrt i-J If,' II S" <br /> <br /> <br />-t7 <br /> <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSED; <br /> <br />EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o IWo.USTRIAL <br /> <br />DIf 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 RE:STAURANT <br />(!vJ sf{(' <br /> <br />'" HEALTH DEPARTMEN A~JROVAL <br /> <br />: ;:,r." rei' ZO~ <br />SQUARE FOOTAGE /920 <br /> <br /> <br />BUILDING SIZE <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 PERMI:T ONLY (2) SETS OF ENGINEERED PLANS REQUIREO. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o E:LECTRICAL <br /> <br />$ /(:7 /J ?/ {;> <br />, / <br /> <br />/SO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SE:R:VICE <br /> <br />W' <br /> <br />Progress Ene.>;gy <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 />o OTHER <br /> <br />o G.AS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR E:LEVATXONS <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 />ELECTRICIAN <br /> <br />COMPANY <br /> <br />P4~(O ~~<: <br />e Roo, LfSOl.' <br /> <br />SIGNATURE <br /> <br />STATE cERT OR REGIST . <br /> <br />********.**********...*************..w********* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />\)...~ Loti}" PIJM~lA~ <br /> <br />STATE CERT OR REGIST # c.. F"C t ~ d- (d"1 <br /> <br />SrGNATURE <br /> <br />SIGNATURE <br /> <br />........... ........... .............. ......., ... .. .. ...... .. .. ~ .,."" .... 1b * *.... .. *(.......w <br />COMPANY. f' g S nil. A ~ . <br />STATE CERT OR REGIST .. CA<--oS-O if! (:) <br /> <br />MECHANICAL <br /> <br /><nUEa f'-~"1 ,~H"H"**H+:;~:~:"Z5r:;j;;;H+'*"" <br /> <br />SIGNATURE ___H~'_.___ STATE CERT OR REGIST * CC -CoS799/ <br />