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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 />BUXLDING DEPARTMENT 5335 8..0 st, ZOiOphyrhi11S, FL 33542 <br />813-780-0020 ~AX:e13-780-0021 <br /> <br />PHONE CONTACT FOR pE:ltMITTING <br /> <br />DATE ~CEIVED ,5=-' IS -Z)..:T' <br />fji3 -7(/'1 -5;1.77 <br />e'f.J-./lI3$ <br />'D13 -: 7~1' - S:J...7I <br /> <br />OWNER'S NAME <br /> <br />IJS r\o~ LctfcrJllr- - Lf.-f\^Ol1 <br />'7(,Sf ~/t:'ch,4-~~~/Vl 1)/ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLocK <br /> <br />SUBDIVISION Cre5fvrtW lIill$ <br /> <br />JOB ADDRESS <br /> <br /> <br />N <br /> <br />pARCEL ID * <br /> <br /> <br />CONSTRUCTION <br /> <br />PROPOSED <br /> <br />DSIGN <br />USB~GL FAMILY <br />o COMMERCIAL <br /> <br />DMOVE <br /> <br />o ALTERATION <br />o DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />WORK PROPSED: <br /> <br />DWELLING <br /> <br />DMULTI-FAMILY <br />D INo,USTRfAL <br /> <br />Of OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />DOTHER <br /> <br />DESCRI~:J:ON OF WORK <br /> <br />c:::::J RESTAURANT <br />\?W sfR.. <br /> <br /> <br />-c:' 2lV3 <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />Z 2-S-- V <br /> <br />HEIGHT <br /> <br />RESIDENTIAL:, ATTACH (2) PLOT PLANS & (2) SETS OF BOILDING pLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDiNG PLANS & (1) SET ENERGY FORMS. <br />IF srGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />M BUILDING <br />o ELECTRICAL <br /> <br />$ /?C} OrY6' <br />/<-50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />W' <br /> <br />Progress Energy <br /> <br />o <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 />TYP~ OF CONSTRUCTION~BLOCK <br />FINISHED FLOO~ ELEVATIONS <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />~O <br /> <br />IS PROJECT IN FLOOD ZONE AHEAD Y~S <br /> <br /> <br />BUILDER ~ <br />SIGNA~O~ <br /> <br />ELECTRICIAN <br /> <br />>I <br /> <br />SIGNATURE <br /> <br />*****.************.**.****~****************.*** <br /> <br />COMPANY l)", \lit{ LOlli<- plolM~l.t <br />STAT~ CERT OR REGIST # C-r-C l~~. (d-'i <br /> <br />PL~ER <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />***********************~*:****};******r.*** <br />COMPANY ~ f' "'1 'S f)~ A 5,.. ~ <br />~ STATE CERT OR REGIST .. eA<- 0.$"'0 Ltc (:) <br /> <br />MECHANZCAS.. <br /> <br />~~R ~~1 ~""'''''''''''''~::::':''Z''5r:;i;;~''''''''' <br /> <br />SIGNATURE / .~ STATE CERT OR REGIST * ce -CoS7 99 J <br /> <br />* ~~ \~~ <br />