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<br />lAAR/31/2005/THU :1:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 002 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUJ:Lt>ING DEPARTMENT 5335 8~B St, Zo;aphyrhi11.a, ]!"I. 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />OWNER'S NAME <br /> <br />IJS <br /> <br />ttofl\t.. G, \ r Cr^~1;.,--, - Ll-A^qj <br />/?f'c:"/r:h.4-fr7 ;/ V/ / ~ L~-r <br /> <br />PHONE <br /> <br />9i3-7~CJ -5:1..77 <br />ey.j. /G,3$ <br />~t3 ~~7(/i - S;t 71 <br /> <br />PHONE CONTACT FOR PEPMITTING <br /> <br />Jon ADDRESS <br /> <br />SUBDIVISION Cr-e5fvrt\,J 1-1,'11$ <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID jf <br /> <br /> <br />-~ <br /> <br />Z3D <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />D MOVE <br /> <br />o ALTERATION <br />D DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPS EO , <br /> <br />EW CONSTRUCTION <br /> <br />DADDITION <br /> <br />DMULTI-FAMILY <br />D IND.USTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIJ?'J:J:ON OF WORK <br /> <br />c:J <br />/Jew <br /> <br />RESTAURANT &. HEALTH ~EPARTMEN. T ,APPROVA~ ~ <br /> <br />sfR ' A/Jt;>c/e/: ~~Y1 (;;?r~ c:: <br />) . , <br />Z07b <br /> <br />zcv.::s <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ /0,9/2/0 <br />/":;;-0 AMP SERVICE <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />D OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE ARE1\D YES <br /> <br />~O <br /> <br /> <br />BUILDER <br />SIGNA;O~ <br /> <br />STATE CERT OR REGIST . <br /> <br />ELECTRICIAN <br /> <br />***********************.***~*******.~ <br /> <br />COMPANY ~~.+ <br /> <br />SIGNATORE <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* *~**..**************.***~***~*:***;);******r.*** <br />. COMPANY. f'''1 ':::> f)~ A <..... . <br />STATE CERT OR REGIST .. C-A<- 05"0 4c 0 <br /> <br />MECHANJ:CAJ:. <br /> <br />OTHER <br /> <br />L.,~~~"" u~.... ..... .~~~:;:,:. 'C"5r-;;;;;~ ... ...... <br /> <br />SIGNATURE.., STATE CERT OR REGIST * CC -CoS799/ <br />