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<br />NOV/29/2005/TUE 09:33 AM <br />. . <br /> <br />ZEPHYRHILLS BUILDING <br /> <br />FAX No. 813-780-0021 <br /> <br />P. 001 <br /> <br />CITY OF ZEPHYRHILLS PE~T APPLICATION <br />JaU:tLDZNG bEPARTMI!lNT 5335 8TH St, Z.phy~hj.~~D, JrL' 33542 <br />8~3-780-0020 FAX:8~3-780-0021 <br /> <br />PHONE qONTA<=T Ji'OR. <br /> <br />DATE RECEIVED <br />PlilliU>a'rT:tNO (e/~)ql()'B101 <br /> <br />OWNER'S NAME 1='=0 ~1)Ja':1Ll afi: ,. .. <br />JOB ADDRESS 3__ /21& De. 2_~'d (ht1.1s <br /> <br />LEGAL DESCRIPTION: LOT(S) <it BLOCK 2 <br /> <br />PARCEL ID it 1:2-JJ..LP-~/-tXJ30400~a:J1J08D <br /> <br />PHONE <br /> <br />(g'JL~) 7K'J. .!JtI7Lf <br />Ztph~r Hetqhf5 <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: <br /> <br />CI NEW CONSTRUCTION <br /> <br />o ADDITION <br />o MOVE <br /> <br />(OBTAIN FROM PROPF.RTY.TAX NOTICE) <br />~TERATION 0 REPAIR 0 INSTALL <br /> <br />DSIGN <br />PROPOSED USE: ~L FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0* OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />BUILDING SIZE <br /> <br />c:J RESTAURAN.T & HEALTH DEPARTMENT APPRO~AL ". . t) <br />. Add/Ill{ (I1Jet1J i If ~&Jm pLJ-n.r - ((eW IlInq (/)()ytt <br />SQUARE FOOTAGE HEIGHT <br /> <br />DlilSCRIPTJ:ON 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 REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION. <br /> <br />PERMITS RE:QUESTED <br /> <br />o -,UILDING <br />at ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D. Progress Energy 0 <br /> <br />W.R.E,C. <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />. tJ OTHER <br /> <br />FINISHgO FLOO~ ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARJi:AD YES <br /> <br />o NO <br /> <br />~~:~~4;~"~~1::,!~J:,>:~:; -~~~~c-~~:::2:~ ~~=,;_;~~::.~~~~~-~' ~~:_1__~~ _ ~~~ _ -, --- _~_' ".<~-~ . ~ ~:~~ ~~--~-"- .~~ ~~::::~~'!~'"1 <br /> <br />BtJ:U..oSR . <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REG I ST *. <br /> <br />SIGNATURE <br /> <br /> <br />*************~********************************** <br /> <br />o COMPANY ~<)bprf11(d PJl(liYlCf1J Sld.rv1t15 <br />STATE 'CERT OR REGIST # Et.!./ .'1(){JI4>( q <br /> <br />2:r..J;tCTRIC:IAN <br /> <br />**************ww****************************~********************* <br /> <br />PLUMBER <br /> <br />COME'ANY' <br /> <br />SIGNATURE <br /> <br />STATE CER~ OR REGIST # <br /> <br />*********************************~******.*.*****.***************** <br /> <br />M:&:CHANJ:CAL <br /> <br />COMPANY <br /> <br />SIGNATURE: <br /> <br />STATE CERT OR REGIST * <br /> <br />* * ***** **..., **.*** *.. **.. * ** *... '* * '* '* **.. *.. ***** **.. *** * * ~.. -Ir;'*******.. *.. ** 'lit....... <br /> <br />OTH1iIR <br /> <br />COMPANY <br /> <br />,.'. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST * <br />