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<br />MAR/31/2005/THU 11:40 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATXON <br />BU:ILDTNG DEPARTMENT 5335 8"0 St, ZQphyrhi.11s, FL 33542 <br />813-780-0020 ~AX:813-780-0021 <br /> <br />P.002 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME~~ G,\f~rJ1lr- - Le.-^~~.r ' <br />JOB ADDRESS. 7(J3~rch-4-nri///~C/y. <br /> <br />PHONE <br /> <br />fji 3 - 7(,9 - 5:2.7] <br />ey..j./(,3$ <br />?J13 -:. 7(/j - 5;;t.-n <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />BLOCK <br /> <br />SUBDIVISION C.re5fvft.;..J Itil/$ <br /> <br />PARCEL ID * <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />N <br /> <br />WORK PROPSEO: <br /> <br />PROPOSED <br /> <br /> <br /> <br /> <br />-: 2.s;-- z:. <br /> <br />720 <br /> <br />....ssS,.s <br /> <br />o REPAIR <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o INSTALL <br /> <br />EW CONSTRUCTION <br /> <br />OSIGN <br />USE~GL FAMILY <br />DCOHMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INf:\USTRrAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DWELLING <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL <br /> <br />New sf{( j ~A/1~/~ ar'b~~ ZCV3 <br />SQUARE FOOTAGE ~~~CJ HEIGHT <br /> <br />BUILDING SIZE <br /> <br />DESCRIPTXON 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 PERM~T 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 />$ /t?~y/V <br />./. c;-o <br />/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />o <br /> <br />AMP SERVICE <br /> <br />Progress Enel:"gy <br /> <br />W.R.E.C. <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 FLOO~ ELEVATIONS <br /> <br /> <br />BUILDER ' <br />SIGNA;otE <br /> <br />ELECTRICXAN <br /> <br />SIGNATURE <br /> <br />PLOMBER <br /> <br />SIGNATURE <br /> <br />Ml!:CHANXCAX. <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 />STATE CERT OR REGIST. Ci3C/ZS/t/4-l- <br /> <br />.*************.*.*****.*.*.******..***W~ <br /> <br />COMPANy-'p$~ P4l\Slc ~e.J.D(; <br />e Roo, 'I SOl. , <br /> <br />STATE CERT OR REGIST 4 <br /> <br />******.************..**********..************.kw <br /> <br />COMPANY l)", 1Il-.{ Lolli'- plolM\l,,~ <br /> <br />STATE CERT OR REGIST ~ C F'C l ~ ~ (d"1 <br /> <br />*** *....* *** ** *.*. ** *** * *~..,..* **~*..w**r.**.* <br />COMPANY ~ f' "1 'S ()~ A <-- . <br />~ STATE CERT OR REGIST # C-AC--OS-O Ltc 0 <br /> <br />OTHER <br /> <br />~;:~......* '~'*""*"":~~:~:"~:;;~f;;;:""**'" <br /> <br />SIGNATURE ....A STATE CERT OR REGIST * C C - Co S 7 9 <j I <br />