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<br />MP.R/31/2005/THU 11:40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH St, Zephyr-hills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />P. 002 <br /> <br />DATE Rli:CE IVED <br /> <br />Le.-^^~ <br />br <br /> <br />9i3-7(,pCj -5:1.77 <br />ey..-/-.lil3$ <br />'D13 ~~7(/i - 52- T> <br /> <br />PHONE CONTACT FOR PEWMITTING <br /> <br />OWNER'S NAME IJS tlot^.t.. L.c~ft:~~lr- <br />JOB ADDRESS ?7f.t?i1 ttA:-eh4-"vv,Kl"P7 <br /> <br />PHONE <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION Cre5/Vfe\,J rJ;(1$ <br /> <br />PARCEL ID it <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br />C> <br /> <br />'-0 <br /> <br />-- <br /> <br />RT <br /> <br />M <br /> <br />o ADDITION <br /> <br />o HOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />USE ~GL, Fl\M1L Y <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INQ.USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />C::J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />'..A/1~/; 4-n06v<:F' ZOO.> <br />SQUARE FOOTAGE Z~/b <br /> <br />sf (( , <br />) <br /> <br />BUILDING SIZE <br /> <br />DESCRI~J:oN 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 srGN 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 />o <br />l\4tf <br /> <br />$ /Z6 J bcYb <br />" <br />cDO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />o <br /> <br />AMP SERVICE <br /> <br />Progress Energy <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />o GAS 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK ' <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNA'~utE <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />p]:,OMBER <br /> <br />SIGNATURE <br /> <br />Ml!:CHANICA:t. <br /> <br />SIGNATURE <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />STATE CERT OR REGIST . C13C/ZS/~4'1. <br /> <br />***~.***.******.****..****.**.*.**~ <br /> <br />COMPANY /5t~A P""-Sl.o <br /> <br />tJ~(; <br />~ Roo, LfSOl' <br /> <br />STATE CERT OR REGIST J <br /> <br />*******************.*..****.******..*********** <br /> <br />COMPANY lJ" \/l-.{ Lov~ P)oJM~"~ <br />STATE CERT OR REGIST . ere l~~ (.;;}-'1 <br /> <br />.*..*..,****..*.** ** *.... ** *~*,,, ** * *1-i>'**** **(. * *,* <br />, COMPANY, f' "1 S nil. A ~ . <br />, STATE CERT OR REGIST . C-A<-- OS""O Lf( 0 <br /> <br />=ma ~~~.~...~.... ...... u, · u::::::' 'c: ski;; ~.... U'" <br /> <br />SIGNATURE , ~ -- STATE CERT OR REGIST *. C c - Co S 7 9 Cj I <br />