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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 />BUILDYNG DEPARTMENT 5335 8"8 St, ZQphyrhill.s, l!"L 33542 <br />813-780-0020 FAX: 813-7BO-0021 <br /> <br />DATE Rli:CEIVED <br /> <br />owNER'S NAME~~ Lct-.r(lfA~lIr-- - Le...f\^qJ <br />JOB ADDRESS ''I ~~) /??t"'/"Ch+n/J///k C~- <br /> <br />PHONE <br /> <br />9,3 - 7(/1 - 5;1.77 <br />ey..-/. '''35 <br />'llt3 n~ 7~1- 5;t. f) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />BLOCK <br /> <br />SUBDIVISION ere 51 vrt (,J 1-1>' lI~ <br /> <br />pARCEL ID * <br /> <br />LEGAL DESCRIPTION: LOT{S) <br /> <br />M <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br /> <br /> <br />00000 O/. <br /> <br />RT <br /> <br />N <br /> <br />DALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o SIGN <br />USE~GL FAM1LY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />DMULTI-FAMILY <br />o INQ,USTRIAL <br /> <br />o If OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />c:=:J <br />!Jew <br /> <br />RESTAURANT 6O.- HEALTH DEPARTMENT APPROV?L /' <br /> <br />sf(( j /J/1~/: ~4~~, /J/~~ <br />SQUARE FOOTAGE ZO'7h <br /> <br />ZOP .> <br /> <br />BUILDING SIZE <br /> <br />DESCRI~:roN OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) pLOT PLANS & {2l 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 />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~. <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 D SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLoo~ ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNA;O{E <br /> <br />ELECTRICJ:AN <br /> <br />SIGNATURE <br /> <br />PLOMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />o OTHER <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 />STATE CERT OR REGIST It C.l3C / 2S / ~4 ~ <br /> <br />..********************....************- <br /> <br />COMPANY~~'+ <br /> <br />P45lo <br /> <br />~~(; <br />e RoO t 4.f SOl , <br /> <br />STATE CERT OR REGIST . <br /> <br />COMPANY \)A.\Il-,{ Lovi'- pIVM~A,,~ <br /> <br />STATE CERT OR REGIST ~ cF"C l~ d (d"1 <br /> <br />* *......********* ** ******~*","'''''''*'*r;'''*''''''**r.**.* <br />COMPANY - f' "1 ':::> Oil. A <.... _ ~ <br />STATE CERT OR REGIST .. eA<-OS-O &f( C <br /> <br />OTHER <br /> <br />~~~""'~"""'*"":~:~;"~~;;~i;;;;*'..'**" <br /> <br />SIGNATURE ~ STATE CERT OR REGIST It CC ~CoS7991 <br />