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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 ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPART!o1ENT 5335 aYB st, ZQphyrhi.ll.s, l!'L 33542 <br />813-780-0020 VAX: 813-780-0021 <br /> <br />DATE RlilCEIVED <br /> <br />OWNER'S NAME ljJ 1'\0",,- (".!:t."'~...~ - <br />JOB ADDRESS '1ft. 3 '~,/c-~h#c:./~I"~ <br /> <br />Le..^^~ <br />.I)r <br /> <br />PHONE <br /> <br />9;3 - 7(/1 - 5:1.77 <br />e'l--I./163$ <br />1113 -~ 7~5' - 5;L-n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />BLOCK <br /> <br />-0. <br /> <br />SUBDIVISION <br /> <br />Cte5fv~\,J Ih'lI$ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />pARCEL ID * <br /> <br /> <br />M <br /> <br /> <br />N <br /> <br />WORK PROPSEO, <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o SIGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />aMOVE <br /> <br />DMULTI-FAMILY <br />a IND.USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />a MOBILE fiOME <br />o OTHER <br /> <br />DESCRIPTXON' OF WORK <br /> <br />C::J <br />/Jew <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />sf(( j 'A/1Qd'e/: b-t/~c?~.(?-~ <br /> <br />SQUARE FOOTAGE Z 0- 76 <br /> <br />zoo 3 <br /> <br />BUILDING SIZE <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9f <br /> <br />Progress Energy <br /> <br />o <br /> <br />W_R_E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAs 0 ROOFING 0 SPECIAl.TY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />.*~*******..******.***.** <br /> <br /> <br />4 <br /> <br />..,/ <br /> <br />*...******~************.******.***~**.*.* <br /> <br />f~ COMPANY ,~+ 0 ~'c <br />STATE C T OR REGIST '* e RoO \ Lf SOl. , <br /> <br />ELECTRICD\N <br /> <br />******..***********.***************.****..************************ <br /> <br />~UMBER <br /> <br /> <br />COMPANY l)... \1)-.( Lovl'- pIJM\l,,[ <br />STATE CERT OR REGIST . ere- l4d- (d-tt <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**** ** **** * **. .. *. *** * *...** .** ****:..*** ** *... *l**~.r.:;*....*.* ..~*t***... **,**.* <br /> <br />, ~ro ' COMPANY~f'''1 ";:)J..Qf)~ .4~ ~ <br />/,.AI7~~ ' STATE CERT OR REGIST .. C,..A--<:...-OS"O LtC 0 <br /> <br />ooU.a ~~::~"...""""'~""""""'~:~:~:'.~:;;~i;;;:""..... <br /> <br />SIGNATURE /A(,g STATE CERT OR REG'ST . CC -C0579<j I <br />..f I:;\ec+nc. yn~cn;l\.Q..,'-^t ~~ <br /> <br />SIGNATURE <br />