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<br />MAR/31/7005/':'I:U II: 40 AM ZEI'If{RH ILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 SorB St, Z...phyrhi11.s, FL 33542 <br />813-780-0020 gAX:813-780-0021 <br /> <br />P. 002 <br /> <br />DATE RlilCEIVED <br /> <br />O~NER' S NAME ~fW\(.. G,r;f()f^~lIr- - Le..^^ct1 <br />JOB ADDRESS '7?55,~/(h/T"r?Tt///k Gr <br /> <br />PHONE <br /> <br />9;3 -7~Cj -5;J.."J7 <br />ey.-I./i43$ <br />'b13 ~~ 7 ~1' - 5;2..-n <br /> <br />PHONE CONTACT FOR PEnMITTING <br /> <br />PARCEL IO * <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ere 5fvfti-J Mill ~ <br /> <br />LEGAL DESCRIPTIO~: <br /> <br /> <br /> <br />N <br /> <br />WORK PROPSED, <br /> <br />o AODITION <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY DWELLING <br />DCOMMERCIAL <br /> <br />o MOVE <br /> <br />DMOLTI-FAMILY <br />o IND,USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />BUILDING SIZE <br /> <br />C::J RESTAURANT "'.' HEALTH DEPARTMENT APPROVA.L 4 p? <br /> <br />New sf(( j A/l~/: a/Cn;/?/ PL~ <br /> <br />SQUARE FOOTAGE ,/ y-v6 HEIGHT <br /> <br />2Dt/ .> <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 SrGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />PERMITS REQUESTED <br />9 s;- <;;; n VALUATION OF TOTAL CONSTRUCTION <br />./'.-S'C/ AMP SERVICE W' Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />VALUATION dF MECHANCIAL INSTALLATION <br /> <br />o GAS o 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 />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />********.****************************..**-************************ <br /> <br />PLUMBER <br /> <br /> <br />COMPANY J')... vi-.{ LOlli" plolM\,,^~ <br />STATE CERT OR REGIST # C F"C l ~ d- (.;)-Cf <br /> <br />SIGNATURE <br /> <br />"*....... *~*............. *." *-.*....... ..".. ..... * * * *............"*...... * *......... *,)*"'~k;*"""." * *,r* ~ * "':"'- **(.. *.* <br />Ml!:CHAN:I:CAX. . _ . COMPANY~fi"1 '::::>J..Qt)~ Ats. . <br /> <br />SIGNATURE *H:H**H**H **H***H*********S*:~::*~~~:*:~*~~I:*:*'**~~:~O Ltc (:) <br />:~':TUR~~1 /A:ffZ- .. :::::ER~~:::~::~ CC -CoS79<j I <br />