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<br />AJG/l0/2005/WED 10:23 AM <br /> <br />I Ii <br />ZEPHYRHILLS BUILDING <br /> <br />P. 007 <br /> <br />13.0 13 /YliS)' <br />61 '-b 9 Q ..7 III <br /> <br />FAX No. 813-780-0021 <br /> <br />. <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILD~NG DEPART.MENT 5335 8m St, Zephyrhills, FL 33542 <br />. 813-780-0020 FAX: 813-780-,0021 <br /> <br />PHONE <br /> <br />~/7 ft ) <br /> <br />CONTACT ;i'OR PERMITTING ~?cJ' - ~?' t.j ~ ~ .</ if <br />..-Jl! tv rJ <br />~\~-7 ~~,~ \4r<if3 <br /> <br />. .G-ro <br /> <br />DATE RECilIVJ:D <br /> <br />OWNER'S NAME'Herre. &1 r~rd <br />JOB ADDRESS 3g750V/-<-/rLlJ1 Cir/~ <br />fL,/ <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I D it 0 . - <br />WORK PROPSED: []NEW CONSTRUCTION <br />DSIGN <br /> <br />o ADDITION <br /> <br />o ALTERATION <br />o DEMOljISH <br /> <br />P Y TI <br />o REPAIR ~INSTALL <br /> <br />o MOVE <br /> <br />PROPOSED USE: 0 SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />Ot. OF UNITS <br />'~S~IMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br /> <br />DEPARTMENT <br /> <br />j~ t-;fSn"t. ;:;1~ <br /> <br />DmSC~PTION OF WORK <br /> <br />SQUARE FOOTAGE <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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />j, <br />I <br /> <br />9() <br />etOO. <br /> <br />PElUfiTS REQUESTED <br /> <br />@ <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />, V~~ATION OFjI'OTAL CONSTRUCTION <br />AMP SERVICE ~ Progress Energy 0 <br /> <br />~ <br /> <br />VALUATION OF MECHANCIAL <br /> <br />W.R.E.C. ~,( <br /> <br />t J y/ <br />INSTALLATION 1 ~ <br /> <br />o GAs <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />'I:J OTHER <br /> <br />tq136 <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />FINISHED FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BurLDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />4L ' . . .'. STATE CERT. OR REGI'ST * C/r; J if S & 11 ~ <br /> <br />******.::~*~. ......*~*5~:.~***..*~diit**cI~.. ... <br />......"'&~.~-',~/" Z; COMPAN~/1/fi0 C./et"le(cd SVfA <br /> <br />.'.~....p "~...~ L"-"'"'--STATE CERT: OR REGIST i ~C 000 ~ I ~ / <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br /> <br />**************************~************************************** <br /> <br /> <br />PL ~ f, ?S.~ C__AN<~~, tJ #~cJ r. <br />SIGNATURED( ~ x1~. STATE CERT: R REGIST "If &CI'l-5"~ Lj i' g; <br /> <br />*************************************************~**************** <br />MECHANICAL COMPANY , <br /> <br />SIGNATURE <br /> <br />STATE CERTOR REGIST * <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />