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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 />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />CITY OF ZEPBYRHILLS PERMIT APPLICATION <br />BUJ:LDING DEPARTMENT 5335 8"8 St, Z...phyrhill.s, FL 33542 <br />813-780-0020 ~AX:813-780-0021 <br /> <br />DATE 1Ui:CEIVED <br /> <br />IJS ~~ Cctf~r"~llr-- - Le.-f\^~ <br />'7 fI '3 <t /7?t:'/'c::7Q1-n /V// / /e C ~~. <br /> <br />9;3 -7~<t -5:1.:}7 <br />e'1-+.I(,35 <br />~13 -~7&1' - 5~ 71 <br /> <br />PHONE CONTACT FOR PE~ITTING <br /> <br />PHONE <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />C fe 5/ V~ \,J II,' II $ <br /> <br /> <br />PARCEL ID It <br /> <br />LEGAL DESCRIPTION: <br /> <br />WORK PROPSED: <br /> <br />PROPOSED <br /> <br />M <br /> <br />RT <br /> <br />N <br /> <br />CONSTRUCTION <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY Of OF UNITS o MOBILE HOME <br />o INI:\USTRIAL o SWIMMING POOL DOTHER <br /> <br />DSIGN <br />USE~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br /> <br />CJ RESTAURANT " HEALTH DEPARTMENT <br />eW sfR, : ~~ <br /> <br />SQUARE FOOTAGE 207.(; <br /> <br />zoo' <br /> <br />BUILDING SIZE <br /> <br />DESCRIP'J!:J:oN OF WORK <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) SE.T ENERGY FORMS. <br />IF srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. <br /> <br />M BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o ME.CHANICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ /09/2/0 <br />,-(5-0 AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~' <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Progress Energy <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <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;U~ <br /> <br />ELECTRIC:u\N <br /> <br />SIGNATURE <br /> <br />PLOMBER <br /> <br />sIGNATURE <br /> <br />MECHAN:I:CAX. <br /> <br />SIGNATURE <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />~O <br /> <br />STATE CERT OR REGIST I C13C/ZS/rI4l- <br /> <br />~ <br /> <br />., <br /> <br />***.***********<<*******.*..*************~ <br /> <br />COMPANL.PS-+ ~4~lo ~e.J.p(: <br />e Roo, ~SOl.' <br /> <br />STATE CERT OR REGIST t <br /> <br />****....******************************....*******.**.*~*********.* <br /> <br /> <br />COMPANY l)" \iliA. Lotl;'- ploJM~"'~ <br />STATE CERT OR REGIST ~ C F'c l4 d (~Cf <br /> <br />** *. *... *****...* ******** * *. ***... *~...,,* ** "'~*~***"'**r.**.* <br /> <br />COMPANY ~ Pi "1 ':::> Of. A <-- ~ <br />~ STATE CERT OR REGIST .. C-A<-oS-O LtC (:) <br /> <br />~>mR l-~~"H ~H"'" ......::::.:.:.. c: 5~i;;~'" *..... <br /> <br />SIGNATURE /' / . STATE CERT OR REGIST * C c - Co S 79 <j I <br />