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<br />1~R/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 />BUILDING DEPARTMENT 5335 8ra St. Zuphyrhi.ll.s. FL 33542 <br />813-780-0020 VAX: 813-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />OWNER'S NAME . ~~""- Lo\r'rJ.-.~ <br />JOB ADDRESS r-n'i__ "r'.rCh~ZL& <br /> <br />Le.^^~ <br />C"r <br /> <br />PHONE <br /> <br />9;3 -7&9 -5:1.77 <br />e'ff.'G.35 <br />?!'3~7&ei-S~f) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />SUBOIVISION Cresfvft\,J 11;11$ <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID * <br /> <br />~'zs--z/- 55 <br /> <br />c:.o <br /> <br />H PR~PERTYTAX NOTT~F.\ <br /> <br />WORK PROPSED: <br /> <br />EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISlI <br /> <br />o REPAIR <br /> <br />o INSTA1..L <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE ~GL. FAMILY <br />D COMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INo.USTRIAL <br /> <br />o It OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTRER <br /> <br />DESCRI~:XON OF WORK <br /> <br />c=J RESTAURANT <br />ew sf{(' <br /> <br /> <br />7~ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEl:GHT <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 srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIREO. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ /t?~P/O <br />,/-->(/ AMP <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SERVICE <br /> <br />i)(. Progress Energy 0 <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 />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />. <br /> <br /> <br /> <br /> <br />SIGNA;O~ .' . ~_ STATE CERT OR REGIST . Ci3C /ZSlrl4.Z- <br /> <br />******.~**** ************.*********._**************. <br /> <br />r:;: - ~..J- <br />COMPANY ~ J <br /> <br />SIGNATURE <br /> <br /> <br />P45to ~e..JD'c <br />e RoO t LlSOl' <br /> <br />l;lLECTRICXAN <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />***-~************..*...***********.*****.***** <br /> <br />PLUMBER <br /> <br />=MPANY I).. \IJ-.( Lcllj"o PI"M~l,.,e <br /> <br />STATE CERT OR REGIST ~ CF"C-- lfd- (.;}-<1 <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />****.********.********.~*:****r;**..**(.*** <br />COMPANY. f' "1 'S OiL A <..... . <br />STATE CERT OR REGIST .. C-A<-- 0.5'"0 Ltc (:) <br /> <br />OTHER <br />