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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 DEPARTMENT 5335 a'rB St, Z...phyrhi1~s, FL 33542 <br />813-780-0020 gAX:813-780-0021 <br /> <br />DATE RlilCEIVED <br /> <br />O~NER' S NAME IJS tlofW\(.. (c.r; fef^~llr- _ - <br />JOB ADDRESS 1,,,1 ~,-ch/1--n TY//h- <br /> <br />Le..^^ct1 <br />er- <br /> <br />PHONE <br /> <br />9,3 -7(,9 -5:1..77 <br />ey.-I./i43$ <br />'b13 -:'7~1- - 5;t-n <br /> <br />PHONE CONTACT FOR PEnMITTING <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ere 5f vft i.J It; II ~ <br /> <br />PARCEL ID * <br /> <br /> <br />-- Z /-SS5 -'00000- <br /> <br />290 <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />WORK PROPSED, <br /> <br />o ADDITION <br /> <br />o ALTERAT ION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />o S:IGN <br />USE~GL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMOLTI-FAMILY <br />o IND,OSTRIAL <br /> <br />Of OF UNI.TS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c=J RESTAURANT .&HEALTH. DEPARTMENT APPROVAL~ ~ <br /> <br />/Jew sf(( j A/lqc/e/:. ~/s.::(C'/ ,. /4'U.. (' 2003 <br />SQUARE FOOTAGE Z Z G:'</' HEIGHT <br /> <br />DESCRIPT:J:oN OF WORK <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 SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />/ZO, 08-6 <br />.~ ~o AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W' <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 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLOOR ELEVATIONS <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 /> <br />BUILDER . <br />SIGNA;UtE <br /> <br />STATE CERT OR REGIST It Cl3c/zS/tf-41. <br /> <br />SIGNATURE <br /> <br />*********************.*** **~*.****.*********.**.*...****.**.**.*w <br /> <br />lj-;~f COMPANY D$~ P45l.0 ~e.J-D'c <br />~}> STATE CERT OR REGIST" e Roo, Lf SOl' <br />..- <br /> <br />**.*.***w.**************~************..*.********.**************** <br /> <br />ELECTRICIAN <br /> <br />P:J:.OMBER <br /> <br /> <br />COMPANY ~"\I)-.( Lolli" ploIM\lAf <br />STATE CERT OR REGIST # C. F'C l ~ d (~<1 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***...* ** *****.. ** *..... *.. *~'\. ** .*~**** **(.**.* <br />COMPANY. f'''1 S OiL A ~ . <br />STATE CERT OR REGIST . c..A<- 0-5"0 Ltc (:) <br /> <br />MECHANJ:CAL <br /> <br />OTHER <br /> <br />~\1;:~""'~"""'*"**:~:~:*'~:5'~i;;;;****"**' <br /> <br />SIGNATURE .~.-. STATE CERT OR REGIST * CC ~CoS79CJ I <br />