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<br />~~R/31/2005/THU 11:~O 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 e"a St, Z..phyrhi11a, l!"L 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br /> <br />DATE REel: IVED <br /> <br />OWNER'S NAME lJS r\o~ G,t.fD[el~lI.-- - Le.-A^qJ <br />JOB ADDRESS 77.27 /?'i'("rch~ri///k ~r <br /> <br />PHONE <br /> <br />9;3- 7G,CJ - 5:2.77 <br />ey..f. /143$ <br />??t3 ~~ 7(.,1- S:J... 71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br /> <br />BLOCK <br /> <br />ere 5/ vrt \,.J II; II $ <br /> <br />PARCEL ID * <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />PROPOSED <br /> <br />SUBDIVISION <br /> <br />-- (.? C:~s -0 <br /> <br />M <br /> <br />RT <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />DSIGN <br />USE~GL FAMILY <br />DCOMMERCIAL <br /> <br />D MOVE <br /> <br />o DEMOLISU <br /> <br />DMOLTI-FAMILY <br />D INI:\USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />c::J <br />New <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />LJ/J~/: dndbv~y <br />'///b <br />SQUARE FOOTAGE Z'7 I _ <br /> <br />sf{( , <br />) <br /> <br />2POS- <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL:. ATTACH (2) PLOT PLANS ~ (2) SETS OF BUILDING PLANS & (1) SET ENERGY ~ORMS. <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 />'M BUILDING <br />o ELECTRICAL <br />o PLuMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ /Z? / 65"b <br />/ <br />2C;D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <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 /> <br />o GAs 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED ~LOOR ELEVATIONS <br /> <br />o 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 /> <br /> <br /> <br /> <br />- ,,-::'::-..-" .. ----- <br />SIGNATotE ~-- ." . STATE CERT OR REGIST . Ci3C /ZS/~4l- <br /> <br />ELECTRICIAN <br /> <br />SIGNATuRE <br /> <br />PJ:.OMBER <br /> <br />SrGNATuRE <br /> <br />MECHANICAl. <br /> <br />SIGNATURE <br /> <br /> <br />*******.***.*****~********************.****.*********** <br /> <br />.' COMPANY ps..f P45lo ~dDc <br />e RoO 1 Lf SOl. , <br /> <br />STATE CERT OR REGIST . <br /> <br />COMPANY l:'J" vj<{ LoII}<- PI""'\lAe; <br /> <br />STATE CERT OR REGIST .. eF'C t~d- (d-'1 <br /> <br />********************~*:****1b***W**[,*** <br />COMPANY. f' "1 OS Oil. A '-. . <br />STATE CERT OR REGIST .. c...A<---oS-O Lf( (:) <br /> <br />~~ e-~1 ~'."'''''''''''''::::::''C:5r-:;L~;~''''''''' <br /> <br />SIGNATURE ./ . V STATE CERT OR REGIST It CC ~CoS79CJ / <br />