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<br />MAR/31/2005/THU 11:40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUJ:LDING DEPARTMENT 5335 8~B St, Z...phyrhi.11a, FL 33542 <br />813-780-0020 ~AX:813-780-0021 <br /> <br />P.002 <br /> <br />DATE Rli:CE IVED <br /> <br />owNER'S NAME <br /> <br />1)5 <br />753'6 <br /> <br />tio~ G,tfl)fe\~n: - <br />h/~ <:::.-h-4: u,/./c t"'~ <br /> <br />Le..f\^Dll <br />.or <br /> <br />PHONE <br /> <br />913 -7(/J -5:2.77 <br />ey.../'/t,3S <br />ZI3 -~ 7 (/i - 52-n <br /> <br />PHONE CONTACT FOR PEltMITTING <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION c.r'e 5/ vr-e i,J l/-,'(J $ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />pARCEL ID * ,~-Z~-2j-...>.sj.s-c;r;:~A:~-O~70 lOBTlI.TN FROM PRflPERTY TAX NOTTrF.1 <br /> <br /> <br />WORK PROPSEO; EW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 0 INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH <br /> <br /> <br />PROPOSED USE~GL FAMILY DWELLING DMULTI-FAMILY Of OF UNITS 0 MOBILE HOME <br /> <br /> <br />o COMMERCIAL DINo.USTRIAL 0 SWIMMING POOL 0 OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPRO~L ~ <br /> <br />/Jew sf{( j A/1t;o/e/: h/4~~,b/~~ zoo-~ <br />SQUARE FOOTAGE 20 76 HEIGHT <br /> <br />DESCRIP".rJ:oN OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCrAL: ATTACH (3) SETS OF BUILOiNG PLANS & (1.) SET ENERGY FORMS. <br />IF SrGN PERMIT ONLY (2) SETS OF ENGINEEREO PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ /CJ7/ 2/0 <br />~~O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF 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 />~O <br /> <br /> <br />BUILDER <br />SIGNA';otE <br /> <br />STATE CERT OR REGIST # <br /> <br />ELECTRICIAN <br /> <br />**.********.****.**.***..*********...****.*******~ <br /> <br />COMPANY-.P~+ <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />P45Lo ~~c <br />e RoO 1 LfSOl' <br /> <br />***********************..**********************k* <br /> <br />PLUMBER <br /> <br />COMPANY I)" \1)-.( Loll,... plolM\l.t <br />STATE CERT OR REGIST ~ ere l~ ~ (.;)-Cf <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />... ....... * ** ** *....... *.......... ~..,.. ** ..,*l--b........ *Ar. * *.* <br />COMPANY. ""1 '::> Oil. /j '- - <br />STATE CERT OR REGIST .. c..A<- oS"o if! (:) <br /> <br />Ml!:CHANICAL <br /> <br />~_R l-~~UU~' u......... '~:;::U c.. 50i;:~'" ...... <br /> <br />SIGNATURE ,~. __ .. STATE CERT OR REGIST * C C - Co S 7 9 <j I <br />