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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 ZEPHYRHILLS PERMIT APPLICATJ:ON <br />BUILDING OEPARTMENT 5335 O"a St, Z...phyrhi.l~s, FL 33542 <br />613-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVEO <br /> <br />owNER'S NAME IJS ~fI\t.. Lot'rGr^~"'b.r-. - Le...^^C\..r <br />JOB ADDRESS qqL/3 /7/J..rC~~,~t///~ c;~. <br /> <br />PHONE <br /> <br />f:ji3 -7"9 -5:1.77 <br />ey..f. /1435 <br />'D13 ..~ 7(/l- 5:t.-n <br /> <br />Ii'lJONE CONTACT FOR Ii'ENHITTING <br /> <br />PARCEL IO it <br /> <br /> <br />BLOCK <br /> <br /> <br />SUBDIVISION Cre5J.-V~(,.J lJ;1I5 <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />( - <br /> <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSEO, <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />pROPOSED <br /> <br />o SIGN <br />USE~GL. FAMILY <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o IN~USTRrAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRI~:ION OF WORK <br /> <br />r:::=:J <br />New <br /> <br />RESTAURANT & HEALTH ~EPARTMENT AP~ROVAL ,/ p7 <br /> <br />sf{( j A/1.ac/e~. C}:;h/7/J4// ~/'~ <br /> <br />SQUARE FOOTAGE ./ ;;;-0.0 HEIGHT <br /> <br />2003 <br /> <br />BUILDING SIZE <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />9S;9W <br />/sO <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />9f <br /> <br />Progress EneJ;gy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <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 />o OTHER <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />ELECTRICIAN <br /> <br />*****~*****~.****************.************~ <br /> <br />c::::: ~. ~..J. <br />COMPANY ~J <br /> <br />P4~lo ~e.Jp'c: <br />e RoO t LfSOl' <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST f <br /> <br />PJ:.OMBER <br /> <br />\:)... \I)-.{ La 0I}<- pI J M ~ ~ f <br /> <br />STATE CERT OR REGIST ~ C F'C l ~ ~ (,;)-'1 <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*******************~*:***;~******r.*** <br />COMPANY. f' "1 "::> Of. .4 '-. - <br />STATE CERT OR REGIST .. CA-<:---c>S-O Ltc (:) <br /> <br />Ml!:CHANICAX. <br /> <br />OTHER <br /> <br />~~"1 <br /> <br />~"""""":~~~:"~:;;~i;;;;"""*" <br /> <br />r-A:. STATE CERT OR REGIST * CC -CoS799/ <br /> <br />SIGNATURE <br />