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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 8"B St, Zuphyrhi..11s I FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE NECEIVED <br /> <br />OHNER'S NAME -:- IJ ~"'" Co r f ,rJ,....-- <br />JOB ADDRESS~~.-:h~/ .;C-~y1 <br /> <br />Le.-f\^~ <br />.or <br /> <br />PHONE <br /> <br />fj,3 - 7~CJ -5;J,:n <br />C'f-t. /(,35 <br />~13 ~~ 7 (.,1- 5271 <br /> <br />FHONE CONTACT FOR FEltHITTING <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCI( <br /> <br />SUBDIVISION <br /> <br />Cte5/V~W 11>'11$ <br /> <br />PARCEL ID .. <br /> <br /> <br />:::c> - <br /> <br /> <br /> <br />N <br /> <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL. FAMILY <br />o COMMERCIAL <br /> <br />D MOVE <br /> <br />DALTERATION <br />o DEMOLISU <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSEO: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />DWELLING <br /> <br />DMOLTI-FAMILY <br />o INQ,USTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DESCRI~XON OF WORK <br /> <br />l=::J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />. /l/1~/: 6//s ~I ~;An.r4 <br /> <br />SQUARE FOOTAGE ZZ8-~ <br /> <br />sf (( . <br />) <br /> <br />ZO'o => <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL:. ATTACH (2) PLOT PLANS & (2) SETS OF BOILDING 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 />L(Lj) 2. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />:;; <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLoo~ ELEVATIONS <br /> <br />o OTffER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREl\D YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />* *** ... ****~***********************.*.**********~ <br /> <br />IY ~ COMPANY J5-.~A P45Lo t)e.JDc <br />__ ~~r STATE CERT OR REGIST" ~ RoO \ '# SOl' <br /> <br />***....********************.************************************** <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY \)... \I)-.{ Lovy- pl~M~.l..e <br />STATE CERT OR REGIST ~ ere l~d (~"1 <br /> <br />PLOMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAl:. <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />//dfI- <br /> <br />COMPANY <br /> <br />~-. <br />