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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 />BU~LDING DEPARTMENT 5335 arB St, ZQphyrhi11s, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />OWNER'S NAME u~ ~.rJ.'b~ - <br />JOB ADDREssLl-4. 0 __~_~,-('A.~ Z~'/k <br /> <br />Lc-^^otl <br />C ;,.-- <br /> <br />PHONE <br /> <br />9,3 -7~1 -5:1.77 <br />C'f-1-. /f63S. <br />~13~ 7&1- 5;1..-n <br /> <br />J?HONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />cre5IV~i-J 1f,'1I$ <br /> <br />LEGAL <br /> <br /> <br />M <br /> <br />T <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />DADDITION <br /> <br />o ALTERATION <br />D DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED <br /> <br />DSIGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />DMULTI-FAMILY <br />o INI:\USTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTXoN OF WORK <br /> <br />C=:J RESTAURANT <br />ew sf((' <br /> <br /> <br />u <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE ./~C?O <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 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 />M BUILDING <br />o ELECTRICAL <br /> <br />$ <br /> <br />_ ~ PE~ITS REQUESTED <br />9--5 J 9 y~ VALUATION OF TOTAL CONSTRUCTION <br />.' .. <br /> <br />,/ ...s-O AMP SERVICE i)f Progress Energy 0 <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <br /> <br />o MECHANICAL $ <br /> <br /> <br />o GAs 0 ROOFING D SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION~BLOCK <br /> <br /> <br />FINISHED FLOO~ ELEVATIONS <br /> <br />VALUATION 6F MECHANCI~L INSTALLATION L/~ 1(3 <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES ~O <br /> <br /> <br />BUILDER <br />SIGNA;U~ <br /> <br />STATE CERT OR REGIST J C./3 c I ZS- / ~4l. <br /> <br />:ELECTRICIAN <br /> <br />********~*******.*******.*..***.*********~ <br /> <br />c:::::-".j <br />COMPANY ~~ <br /> <br />p~~(O ~dD<: <br />eRool ~sq, <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />**************~***************.************************* <br /> <br />PLUMBER <br /> <br />COMPANY \)'''II~ Lovi'" ploJM~"e <br />STATE CERT OR REGIST # eF'C l~d (d-"1 <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />* ** **....* ******.................. *... * *~*,....... *~"'~*.."'**r. .......* <br />COMPANY ~ f' "1 ':::> f)~ A '- ~ <br />STATE CERT OR REGIST ., C-AC- 05"0 Lf( (:) <br /> <br />MECHANICAL <br /> <br />~ ~r;;~'" '7iij'" ........ ...::::.::. 'c:5~L:; ;.... ..... <br /> <br />SIGNATURE?-'C STATE CERT OR REGIST * CC ~CoS79Cj I <br />