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<br />~~R/31/2005/THU 11:40 AM <br /> <br />OWNER'S NAME <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P.002 <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 aU St, Zuphyrhi11.s, FL 33542 <br />813-780-0020 FAX: 613-780-0021 <br /> <br />DATE Rli:CE IVED <br /> <br />IJS <br /> <br />~~ Cotrl}r^~llr- - Le..^^~ <br />~rch~/Y///t:" L";r <br /> <br />9;3 -7(/J -5:1.77 <br />ey..-/-./il35 <br />'l,t3 ~~ 7&1' - 5)... f) <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PHONE <br /> <br />JOB ADDRESS "7 C, J. 1J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ere 5{ vrt \,J I';" II $ <br /> <br />PARCEL ID * <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />N <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br /> <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />DSIGN <br />USE~GL~ FAMILY <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />DMOLTI-FAMILY <br />o I Nl:\OSTRIAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DWELLING <br /> <br />CJ RESTAURANT ..&.' HEALTH DEPARTMENT APPROV~ ~ <br /> <br />New sf(( j LJ/J~oIe/: 6//:.s~/ V~ c: <br />SQUARE FOOTAGE Z2t!i-'<::/" HEIGRT <br /> <br />Z{?t7 .:s <br /> <br />BUILDING SIZE <br /> <br />DESCRI~XON 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 REQOIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ BUILDING <br />o ELECTRICAL <br />o PLuMBING <br />o MECHANICAL <br /> <br />PERMITS REQUESTED <br />$ /2~ 08"6 <br />--< S-o AMP SERVICE <br /> <br />4~4S <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~f <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTflER <br /> <br />o GAs 0 ROOFING 0 SPECIALTY <br />TYPE OF CONSTRUCTION~BLOCK <br />FINISHED FLoo~ ELEVATIONS <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;OtE <br /> <br />ELECTRIC:LAN <br /> <br />SIGNATORE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />Ml!:CHANICAL <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />****************************************.************************- <br /> <br />COMPANY p~~ P4.~lo <br /> <br />~~ <br /> <br />,.., <br /> <br />~~(; <br />~ Roo, LfSOt.' <br /> <br />STATE CERT OR REGIST . <br /> <br />****..*************.***..************...************************** <br /> <br />COM,ANY \:)" Vl~ Loll}<- pl"",~,l"f <br />STATE CERT OR REGIST ~ C F'C l ~ ~ (d'1 <br /> <br /> <br />OTHER <br /> <br />~~'~""""~""""":~~:~:"~:;;~i;;;;"""'" <br /> <br />SIGNATURE __~ STATE CERT OR REGIST It CC -CoS799/ <br />