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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, Zaphyrhi11s, l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Ri:CEIVED <br /> <br />owNER'S NAME~~ .Lc\fl}r^~lI.r-. <br />JOB ADDRESS fYJ03~-:ch~-?/I////G- <br />LOT(S) <br />'--ZI- S.sS,.5'-OCl <br /> <br />Le...A^oU <br />/J, <br />L../r <br /> <br />PHONE <br /> <br />gH - 7(,<1 -5:J:17 <br />e1-J.'l43S <br />?l13-~7(,1-5;L71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />SUBDIVISION C.te5fvft\,J Ih'1I5 <br /> <br /> <br />BLOCK <br /> <br />02:/0 <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION o ALTERATION o REPAIR D INSTALL <br />D MOVE 0 DEMOLISH <br />DMULTI - FAMIL Y Of OF UNITS o MOBILE HOME <br />D INo,USTRIAL o SWIMMING POOL DOTHER <br /> <br />OSIGN <br />PROPOSED USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRI~IoN OF WORK <br /> <br />CJ <br />New <br /> <br />RESTAURANT ~ HEALTH DEPARTMENT APPROVAL <br /> <br />'A/J~/: Ox/b;--:t-/ ZC?;;73 <br /> <br />SQUARE FOOTAGE /72.0 HEIGHT <br /> <br />sf (( . <br />) <br /> <br />BUILDING SIZE <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 />PERMITS REQUESTED <br /> <br />L-/5 '3 ') <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ /'O//y/O <br />/ <br />/5-0 AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />o PLOMBING <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 />D OTHER <br /> <br />o FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~o <br /> <br /> <br />BUILDER <br />SrGNA;O~ <br /> <br />STATE CERT OR REGIST , C.l3C /l.S 1'-I4.1.. <br /> <br />SIGNATURE <br /> <br />**-*******************.***************************...************- <br /> <br />~t;:j/J: COMPANY~~~ ~~5~O ~e.Jp<- <br />:~~~** * *..... * * * *..... *... *... *..... ::~::..::::*~:* ::::~:... :*..*~*~~~ ~ ~ sq, <br />COMPANY I'l... \1)-.( Lev,.. pl"",,~l,,~ <br /> <br />STATE CERT OR REGIST ~ ere l!d (d-'1 <br /> <br />:ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />.... * **..,.. **...* * * *....,.. * * * * *~*,* * * * *~ **** **(. * *.* <br />COMPANY. f' "I S Oi(. A <--. <br />STATE CERT OR REGIST " c..A<- 05"0 if( (:) <br /> <br />PL~R <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />~\i::~...."'~""""'.""':~:~:.'~:;;~i;;;;"""'" <br /> <br />SIGNATURE I/'~ _ . STATE CERT OR REGIST It C C. - Co S 7 9 9 I <br />