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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 />BUILDING DEPARTMENT 5335 8TH St, Z...phyrhill.s, l!'L 33542 <br />813-780-0020 gAX:813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />OWNER'S NAME US ~~ Cc\ftf^~lIr-- - Le.-A^oU <br />JOB ADDRESS 1~1t3 /??l"'/""Ch.~/y//k Cy- <br /> <br />PHONE <br /> <br />fj/3 - 7&Cj - 5:1..77 <br />e'f-l.I(,3$ <br />?J13'~ 7(/j"- 5:.t 71 <br /> <br />PHONE CONTACT FOR PEPMITTING <br /> <br /> <br />BLOCK <br /> <br />Ctesfvi't\,J If;lI~ <br /> <br />PARCEL ID * <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />H P~PERTY TAX NOTT~F.1 <br /> <br />WORK PROPSED, <br /> <br />PROPOSED <br /> <br />SUBDIVISION <br /> <br /> <br />o <br /> <br />-. C? <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o INSTALL <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />DSIGN <br />USE~GL. F.AM1LY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMOLTI-FAMILY <br />o I ND,USTRIAL <br /> <br />o If- OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DWELLING <br /> <br />c=J RESTAURANT & "EALTH DEPARTMENT APPRO~ ~ <br /> <br />New sf(( j LI/1~/: 6r/.s7t.?/ ~ -?9:1a .. <br /> <br />SQUARE FOOTAGE ZZc5-s/' HEIGHT <br /> <br />~oo3. <br /> <br />BUILDING SIZE <br /> <br />OESCRIP'.rXON OF WORK <br /> <br />RESIDENTIAL'. ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, <br />COMMERCrAL: ATTACH (3) SETS OF BUELDiNG PLANS & (1) SET ENERGY FORMS. <br />IF SrGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED_ <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />/Zt?J DrY;; <br />" <br />/: ~? AMP SJ!:RVICE <br /> <br />W.R.E,C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />o <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPJ!: OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br /> <br />BUILDER . <br />SIGNA;otE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PJ:,l)MBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST # Cf3C /ZS/~4-l- <br /> <br />..*********************..**************w**.****.~ <br /> <br />COMPANY /5ts~ P4~(O t)~'c <br />eRoo, "SOl' <br /> <br />STATE CERT OR REGIST t <br /> <br />*****.************..**-************************ <br /> <br />COMPANY b... wi. Lo,,~ pl"",~L.~ <br />STATE CERT OR REGIST it e F"C l f d- (d-"1 <br /> <br />......... ** *,o. *...*...... *....... *,o.,o....... *......... "'~'\::",o. * *-*"'l-i * *...* **(. '" "'.'" <br />COMPANY. f' "1 ':::> oe.. A <.... - <br />. STATE CERT OR REGIST it CA<--os-o tf( (:) <br /> <br />v <br /> <br />0"flU<R ~~~.~..... ..~...... ..... ..~~~:::.. C: ~;r:a ,:; ~ ... ... H' <br /> <br />SIGNATURE ...........~ / STATE CERT OR REGIST * C c - Co S 7 9 <j I <br />