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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 />BU:tLDING DEPARTMENT 5335 8TH S t, Zuphyrhi11.s I l!"L 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PHONE CONTACT FOR PS}{MITTING <br /> <br />DATE Rli:CEIVED r5 - /5 -05- <br />flt3 - 7(/j -5:1.')7 <br />c'f-J.I(,35 <br />'"bt3~ 7 (/1 - 5;L 71 <br /> <br />owNER'S NAME <br /> <br />??-~~~r1:: - L~^^"r - <br />L(. ,.ch k//k r;,y <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBOIVISION <br /> <br />Cre5lv~w li;lI$ <br /> <br /> <br />PARCEL ID it <br /> <br /> <br />Z-s Z <br /> <br />H <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />OSrGN <br />USE~GL FAMILY <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DWELLING <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 />BUILDING SIZE <br /> <br />c=J RESTAURANT & HEALTH DE.PARTMENT APPRO~ <br /> <br />!Jew sfR j /YlQoIe/: u/#czt:~, t2L~cx? .~ 5 <br /> <br />SQUARE FOOTAGE ~/7~ HEIGHT <br /> <br />DESCRIJ?".rXON OF WORK <br /> <br />RESIDENTIAL:. ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILOiNG PLANS & (1) sET ENERGY FORMS. <br />IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o ELECTR:tCAL <br /> <br />$ <br /> <br />/C~ Z/O <br />/. ~O AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />91' <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 /> <br />o GAS 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR 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 />BUILDER . <br />SIGNA'~otE <br /> <br />STATE CERT OR REGIST . <br /> <br />SIGNATURE <br /> <br />.*********~*********************.*..***.******w_ <br /> <br />COMPANY PS~ P4~l.oE}e..J.D<.: <br />eRoo t LfSOl.' <br /> <br />ELECTRICIAN <br /> <br />STATE CERT OR REGIST t <br /> <br />*.*******************.*************************** <br /> <br />~LOHBER <br /> <br />COMPANY I)" w{. LcVJ<- PIJM~L.~ <br /> <br />STATE CERT OR REGIST . CF"C lot: ~ (.,;;)-<1 <br /> <br />sIGNATURE <br /> <br />SIGNATURE <br /> <br />*************************~*:****lb******r.*** <br /> <br />COMPANY. f' "1 OS f)~ A '-. ~ <br />. STATE CERT OR REGIST it C-A<-- oS'o LtC c <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />~~~..'~'."...'.."*"'.~~~:~:'.~:;;~f;;;;'...'*". <br /> <br />SIGNATURE _ STATE CERT OR REGIST * C C - Co S 7 9 <j I <br />