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<br />~/31/2005/THU 11:40 AM <br /> <br />OWNER' S NAME lJ 5 <br />JOB ADDRESS . 7~b 0 <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 0"8 St, Z...phyrhi.11S, FL 33542 <br />813-7BO~0020 ~AX:B13-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />tio~ Cotfl}~~"b.~ - <br />~C'h4-i-t/~~ h <br /> <br />9;3 - 7&9 -5;1./7 <br />e'f.J,//'3S <br />~/3-:'7(/l-5:J,:n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />Le.-A^C\r <br />./~y <br /> <br />PHONE <br /> <br /> <br />BLOCK <br /> <br />CresjVfe\,J Jf;lI$ <br /> <br />PARCEL ID it <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />PROPOSED <br /> <br />SUBDIVISION <br /> <br /> <br />ocooo t?97o <br /> <br />o ADDITION <br /> <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISll <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />DSIGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />DMOLTI-FAMILY <br />o IND,USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />c=J RESTAURANT .& HEALTH ~EPA.R TMENT APPRO~ ~ <br /> <br />/Jew sf(( j A/lqc/e/: /z/d/&??, 6ZLL?-14~ 20C73 <br />SQUARE FOOTAGE 2?'76 HEIGHT <br /> <br />BUILDING SIZE <br /> <br />OESCRIPTXON OF WORK <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <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 />& ( ],) SET ENERGY FORMS. <br />FORMS. <br /> <br />PERMITS REQUESTED <br /> <br />CjL/;:Z</ <br /> <br />$ /t?~ Z/O <br />/S-O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. <br /> <br />o <br /> <br />AMP SERVICE <br /> <br />W.R.E.C. <br /> <br />Progress Energy <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 /> <br />BUILDER . <br />SIGNA;otE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PJ:.OHBER <br /> <br />SIGNATURE <br /> <br />Ml!:CHAN:I:CAX. <br /> <br />SIGNATURE <br /> <br />o FRAME <br /> <br />o STE;EL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />STATE CERT OR REGIST It Ci3CIZS/r.f4l- <br /> <br />******~****.****.****...************- <br /> <br />~-"A. <br />COMPANY ~... <br /> <br />P45lo ~e.Jll(; <br />e RoO t L# SOl. , <br /> <br />STATE CERT OR REGIST . <br /> <br />COMPANY I)", vi>!. LeV,., ploJM~lAe <br /> <br />STATE CERT OR REGIST ~ C F'C l ( ~ (.;)-<1 <br /> <br />*.****++*+**********~*:****~******r.*+* <br />COMPANY. f' "I S Oil. A <--. ~ <br />STATE CERT OR REGIST ., c..A<--OS'b Lf-{ 0 <br /> <br />OTHER <br /> <br />~~~""'~"""'***'*:~:~:**c::;;~i;;;;**'*"*** <br />SIGNATURE STATE CERT OR REGIST It C C ~ Co S 79 Cj I <br />~ <br />