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<br />./31/2005/TiU 11:40 AM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No.8!3-780-0021 <br /> <br />P . ,\') <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUX:LDING DEPARTMENT 5335 8"8 St, Z...phyrhi11s, FL 33542 <br />813-780-0020 HAX:813-780-0021 <br /> <br />DATE ~CEIVED <br /> <br />OWNER'S NAME US ~~ G,~fef^~llr- - <br />JOB ADDRESS of ~ 2(p .4/?/(7/:J~ ~j,'i / ~ <br /> <br />Lt-A^a.1 <br />/.7 ' <br />L./r <br /> <br />PHONE <br /> <br />913 - 7l,Cj -5:1./7 <br />e1-J.'l435 <br />'bt3~7t;1-5;L71 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />PARCEL ID * <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />Cre 5/ vi-e i,J I-h' iI > <br /> <br />LEGAL DESCRIPTIO~: <br /> <br />H <br /> <br />RT <br /> <br />N <br /> <br />PROPOSED <br /> <br />DSrGN <br />USE~GL FAM1LY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />D MOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />D INSTALL <br /> <br />WORK PROPSED: <br /> <br />DMULTI-FAMILY <br />D IND,USTRIAL <br /> <br />o *' OF UNITS <br />o SWIMMING POOL <br /> <br />D MOBILE HOME <br />DOTHER <br /> <br />DESCRIPTXON OF WORK <br /> <br />c::::J RESTAURANT <br />\?w sf((' <br /> <br /> <br />003. <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />/8VD <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 />PERMITS REQUESTED <br />,~ .9 g.--'j7' VALUATION OF TOTAL CONSTRUCTION <br />/....>0 AMP SERVICE W' Progress Energy 0 <br /> <br />Lf&L(0 <br /> <br />W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />D OTHER <br /> <br />o GAS 0 ROOFING D SPECIALTY <br />TYPE OF CONSTRUCTION:X'BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />D FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br /> <br />SIGNATURE <br /> <br />~ COMPANY ~4~lo ~(: <br />**::******.*.******~.*******.****::~::*~~::*~:*:::~::*:***~*~~~:~~' <br /> <br />:SLECTRICZ-AN <br /> <br />~OHBER <br /> <br /> <br />COMPANY I)" \1)-.1, Loll}" plolM~l,,~ <br />STATE CERT OR REGIST ~ CF"C t~~. (dCf <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***.*******************~*:****~******r.*** <br /> <br />~ COMPANY ~ f' "1 S OiL A <-- ~ <br />STATE CERT OR REGIST .. C-A<- oS-O LtC 0 <br /> <br />MECHANXCAL, <br /> <br />OTlIER <br /> <br />~~1'1 <br /> <br />_~""'.""'~~:~:"~:;;~i;;;;"""." <br /> <br />__~ STATE CERT OR REGIST i CC -CoS79CJ I <br /> <br />SIGNATURE <br />