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<br />K/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 APPLICATION <br />BUXLt>7NG DEPARTMENT 5335 aYB St, Z...phyrhi.11s, P'L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME IJS tiolW\t.. ~trcrJlI,-- <br />JOB ADDRESS "]{po1 t.-?./~r h~~t".~ <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />Ll.-A^oJ <br />.or- <br /> <br />fji3 - 7(/1 - 5;1.77 <br />ey..f./G,3$ <br />~t3~~7(/i -5;t71 <br /> <br />PARCEL ID * <br /> <br />WORK PROPSEO; <br /> <br />PROPOSED <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION cresjvrti;J M;lls <br /> <br />3S, 25-- Z. <br /> <br /> <br />RT <br /> <br />N <br /> <br />CJ <br /> <br />.""A <br /> <br />EW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISll <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o SIGN <br />USE~GL. FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />o INC\USTRIAL <br /> <br />OJ OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />r::=J <br />New <br /> <br />RESTAURANT ~ HEALTH DEPARTMENT APPROVAL <br /> <br />'LV1.aole/: .4n~v~r <br />SQUARE FOOTAGE 2~/i <br /> <br />sf(( , <br />) <br /> <br />Zt'.A7 c;- <br /> <br />BUILDING SIZE <br /> <br />DESCRI~XON 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 />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$/ZZ;;6AMP <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o OTHER <br /> <br />o STEEL <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;O~ <br /> <br />ELECTRIcIAN <br /> <br />SIGNATURE <br /> <br />~OMBER <br /> <br />SIGNATURE <br /> <br />MECHANXCAX. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t CJ3C/ZSlrf4.G. <br /> <br />******.~*****.*****.*.******~.*.****.****.***.. <br /> <br />COMPANLP~~ P4$l.O tJe.J.Dc <br />e Roo, LfSOl' <br /> <br /> <br />STATE CERT OR REGIST t <br /> <br />****...*..* *******w****.***************..********..************** <br />J . <br />~,; COMPANY l)P. \l)tA. Lo II ~ p I If M \ ~ t <br />GC STATE CERT OR REGIST ~ ere l+d-- (,,;)."1 <br /> <br />*********************~f:****~******r.*** <br />COMPANY. '''1 S ()~ A <..... . <br /> <br />STATE CERT OR REGIST . C-A<-OS"O Lf( 0 <br /> <br />o.~ ~b~ ~""H''''''~'':~~::;''::::5fii;~~'H'''''. <br /> <br />SIGNATURE ~_~ _~ n' STATE CERT OR REGIST t CC -CoS79CJ I <br />