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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 />BUILt)YNG DEPARTMENT 5335 aU St, Ztitphyrhi11.a, l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECEIVED <br /> <br />owNER'S NAME US ~~ CotftlrA~Dr-- - Ll-f\^~ <br />JOB ADDRESS -1~ C/O ~~h~/<l"'V? /)j'. <br /> <br />PHONE <br /> <br />gH - 7(P<j -5:J..77 <br />e'ff,/t.,35 <br />'ll13 :"7(/j' - SJ... 71 <br /> <br />PHONE CONTACT FOR PENMITTING <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Cte5fv~\,J 1t)1I~ <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br />PARCEL ID it <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br /> <br />o <br /> <br />-C? <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o Rf-:PAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />DSIGN <br />USE~GL. FAM1LY <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />o INI:\USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />c=J RESTAURANT <br />evJ sf((' <br /> <br />i< HEALTH DEPARTMENT PPROVAL <br /> <br />0;'/ Zeo 3; <br />. #' <br /> <br />SQUARE FOOTAGE /9"20 <br /> <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 /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />4lf:2! <br /> <br />$ ,/i/~ y/O <br />/:>0 AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />g( <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <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 AREAO YES <br /> <br />~O <br /> <br />****~**.***.*.*~****.*****~.*...****.**.**.*. <br /> <br />COMPANY-.PS,J. P.:\Slo ~~<: <br />e RoO t LfSOl' <br /> <br />STATE CERT OR REGIST t <br /> <br />COMPANY l)", Vl~ Lovj'c P/"M\lA-e <br />STATE CERT OR REGIST ~ C F'C k of ~ (.,;)-<1 <br /> <br />...........*.. *........ **.. **...... *...... ...~.."..... "")-1,.... .*(.. *.* <br />. COMPANY. f'''1 S oe. A (.... . <br />STATE CERT OR REGIST . C-A<-OS-O Ltc 0 <br /> <br />~R ~~::~""'~"""""""':~:~:"~:;;~i;;;;"""'" <br />SIGNATURE .. /. STATE CERT OR REGIST * CC-CoS7991 <br />./ <br />