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<br />MAR/Ol/2005/TUE 10:37 AM ZEPHYRHILLS BUILDING <br /> <br />. FAX No. 813-780-0021 <br /> <br />p, 002 <br /> <br />OWNER; S' NAME <br /> <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING Dii>AliMNT 5335 8~B at, Zephy;;.llHls, FL 33542 <br />, . 813-780'-0020 FAX: 813-780-0021. DA~~ RECEIVED -LIp /0 {p. <br /> <br />PHONE CONTAC:C FOR PEIlMITTING65o-. a-/'\5o~ S <br /> <br />PHONE BJ,g.1/51{)Q'l <br />'IfJL I ver <br />lJ0Y18 <br /> <br />o MOVE <br /> <br />,OALTERATION <br />,,0 DEMOLISH <br /> <br />o RE~,AIR <br /> <br />WORK PROPSED: DNEW CONSTRUCTIi;lN <br />o SIGN <br /> <br />o ADDI'rION <br /> <br />o COMMERCIAL ' <br /> <br />o INDUSTRIAL <br /> <br />o It or UNITS <br />)(sWIMMING '~OO~, " <br /> <br />o MOBILE HQME ' <br />GOTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING , ' DMULTI':"~~Ii"l <br /> <br />BUILDING SIZE <br /> <br />CJ RESTAURANT & H~'l'H DEPARTMHT APPROVAl. ' ..' <br /> <br />JfJ8fall O()t.{JIEeE~/berglas8 dWlmm'!79 PW/ <br /> <br />, SQUARE, FOOTAGE' HEIGHT <br /> <br />DESCRIP~ioN, 6~ WORK <br /> <br />RESIDENTIAL: ATTACH (2)' P:LOT PLANS &(2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PE~lIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />, .. ~ROPERTY SURVEY RE:QUIR.E:D FOR ALL N:':W, CONSTRUCTION. <br /> <br />~ (1) SET ENERGY FORMS. . <br />FORMS. <br /> <br />'-.. <br /> <br />~UILbING <br />~1ECTRICAL <br />~bMBmG . . <br />o MECIiAtnr::AL <br /> <br />. PERMITS REQUESTED' <br />$~ VALUATION OF TOTAL CONS'l'RUCTlON ' <br /> <br />, . . ' -~ ('20) <br />7hoe~hll, ~:.~ '- <br /> <br />'3 .W.11tQ.M5' No t:.t..... _ . <br />'3. ",;III'~M~ S'~rf-. ' <br />N.oc.L <br /> <br />AM~ SIi;RVICE <br /> <br />o Progress Energy , 0 <br /> <br />W.R.E.C. <br /> <br />,~ <br /> <br />VALUATION or MECHANCIAL INSTAl.t.ATION <br />o OTHER <br /> <br />o GAS <br /> <br />d ROoi?ING 0 SPECIALTY <br /> <br />TYPE OF CONST~UCTION;' 0 BLOCK <br /> <br />tJ FRAME <br /> <br />o ' STEEL <br /> <br />o OTHER <br /> <br />FI~rSHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD,;tES 0 NO, <br /> <br /> <br />BUILDER <br />S lGNA'l'UREl <br /> <br />STATE CERT OR REG 1ST <br /> <br />ELECTRtCIAN <br /> <br />*************************~***~*********~******************* . <br /> <br />., . ' , ,,'?-jS" C,OMPANYU. f{J /Ii Om8 ej.JeJr/~ <br /> <br />SIGNATURE <br /> <br />************************~*********~**************************** <br /> <br /> <br />..... .. J-)," .::::~~~~f'/id/ml <br /> <br /> <br />~~*********************~***********~******.**..*.****..****-****** <br />COMPANY <br /> <br />$TA~E ~ERT OR REGIST i <br /> <br />~ <br /> <br /> <br />SIGNATU <br /> <br />MECHANICAL . <br /> <br />**~***~********************.****.**.***************************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST t <br /> <br />'-, <br />