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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 8Ta St, Z~phyrhil1.8, l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />owNER'S NAME~~ Co\f~r^~"b.-- - Le...f\^oU ' <br />JOB ADDRESS-.!J~L(.3 /7?1!"'~c)1~ r'v//~ . G/- <br /> <br />PHONE <br /> <br />9;3 -7(/t -5;2.77 <br />e'f-/./(,3$ <br />'D13 :"7(/1 - S;L-n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C te 51 vrt \,J 1-/-; lJ $" <br /> <br />PARCEL 10 * <br /> <br />LEGAL DESCRIPTIO~: <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br /> <br /> <br />(/ <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br />o MOVE <br /> <br />OSIGI'! <br />USB~GL. FAMILY <br />o COMMERCIAL <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />o INI:\USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />C:J <br />/Jew <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />. /Yl.QoIe/: .~c/Pvr""r 200S- <br />SQUARE FOOTAGE Z ~ /6 <br /> <br />sf {( , <br />) <br /> <br />BUILDING SIZE <br /> <br />DESCRIP".rXON OF WORK <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLAI'!S & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ /7t:; , b,y-6' <br />, / <br />?oO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />9f <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />AMP SERVICE <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />. <br /> <br /> <br /> <br /> <br />SIGNATO~ - ~.;.>J- ~-::- STATE CERT OR REGIST . C13C/ZSIt/4,G. <br /> <br />.****~.*.*..*****.. **.*~*****.****.********....********.****~ . <br /> <br />.,' COMPANY ~~A- p~$l.o ~e..Jpc <br />€RoO' LlSOl\ <br /> <br />ELECTRICIJ\N <br /> <br />SIGNATuRE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <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 />STATE CERT OR REGIST 4 <br /> <br />******w**.*.*****w**.*..*******.**.*~*******.**. <br /> <br />COMPANY \)" \I)-.{ Lovi'" plolM\A.,~ <br />STATE CERT OR REGIST ~ ere.- t~ d- (.;}-Cj <br /> <br />* *.. *..* ........ ....* **"""". * '* "'...... *.. *~.......", '** "r"~'" ....... *...(.... *. <br /> <br />/ COMPANY. f'''1 '::> OiL A <--. - <br />_ STATE CERT OR REGIST . C-A-C--O.S-O Lf( (:) <br /> <br />OTHER <br /> <br />~~~"'.."~..."""."""::~:~:"~~~~i~~;;"""'" <br /> <br />SIGNATURE ,~_ STATE CERT OR REGIST It C C - Co S 79 <7 I <br />