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<br />MAR/31/2005/THU 11:40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aYB St, Zephyr-hiLl.s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />P. 002 <br /> <br />DATE iUi:CE:I:vED <br /> <br />OWNER'S NAME~JV\t. Cctrt~~llr- - Le...^^~ <br />JOB ADDRESS . 1](,11 ~c~/9-u/~'-~ .L)r, <br /> <br />PHONE <br /> <br />fJt3 - 7~9 -5:1.77 <br />ey..-/./il3$ <br />~/3~7&1- 52.:11 <br /> <br />PHONE CONTACT FOR PEltMITTING <br /> <br />pARCEL ID It <br /> <br /> <br />SUBDIVISION ere 51 vrt \,oJ th' II ~ <br /> <br />LEGAL DESCRIPTIO~: <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />o I No.USTRI:AL <br /> <br />D. OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:=:J RESTAURANT ," HEALTH DEPARTMEN.! APPROV.~L /1 tl <br />New sfR.. j A/lqc/e/: ~/C7~7/,4/ CzL~~ <br /> <br />SQUARE FOOTAGE /' ?OD <br /> <br />Zoo~ <br /> <br />DESCRIPT::J:ON OF WORK <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 />~ BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />_ PE~ITS REQUESTED <br />9. >/' 95"9 VALUATION OF TOTAL CONSTRUCTION <br />./. ~ 0 AMP SERVICE <br />, <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 />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />*0 <br /> <br /> <br />ELECTRICIAN <br /> <br />**************.***************...***********- <br /> <br />COMPANY D~A P4$lo <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />~dD'c <br />eRoo t "sq, <br /> <br />*****************.*w**+*.********.****~*********** <br /> <br />PLUMBER <br /> <br />COMPANY l)... II)~ Loll,.. PIJM\'l,,~ <br />STATE CERT OR REGIST . CF'C,~ ~ l.;).-'T <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />*****w. ***** * *** '" * *.. * * *~*,*** ",~*~***w**r * *,* <br />COMPANY. f' "1 ':::> ()~ A <..... . <br />STATE CERT OR REGIST .. CA<--os-o 'f{ (:) <br /> <br />Ml!:CHANICAL. <br /> <br />:::TU= ~~~. '~.'" .... ..... ':::~:::~ ~~:!E ~. ~'~'-'~"~5 <br />