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<br />JAN/24/2006/TUE 09:07 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P,002 <br />CI Y OF ZEPHYRHILLS PERMIT APPLICATION <br />aUI ING DEPAR~N~ 5335 B~ at, ~ephyrhi1181 FL 33542 <br />,813-780-0020 FAX:B13-780-0021 <br />.J PATE ro:CEIVEP <br /> <br />PHONE GONTACT FOR PERMITTING <br /> <br />OW~ER' s NAM~JI;K~NIIt e{l)t - bJf.WZ,1)S <br /> <br />. . <br /> <br />JOE ADDlUlSS ~t;bIQ m r!!. S-.. . <br /> <br />PHONE .R'l3. JK"- ~ aq"o <br /> <br />LEGAL PESCRll?TIO~: LOT (S) _ /0'.. I :3 .~ BLOCK ,;}JlI <br />PARCEL ID Jt ./L' ~/#',:u, txJ.l.D .;lJI.IfYJ' 0(00 <br /> <br />SUBDrVISION <br /> <br />WORK PROPSED: [JNEW CO~STRUC'l'ION <br />Ds~ . <br />PROPOSED USE: ~GL FAMILY DWE~tING <br />o COMMERCIAL <br /> <br />o APDITION <br /> <br />(OeTAIN FROM P~QP~RTY,TAX NOTICE} <br />o ALTERATION 0 REPAIR ~STALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI~F1\MIL'l <br />o INDUSTRIAL <br /> <br />Oft OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBIL)!: HOM <br />o OTHER <br /> <br />" <br /> <br />r=J REST~ORAN'l' & HEALTH DEPARTMENT AP~ROVAL <br /> <br />", <br />. <br /> <br />DESC:RIPTIcm OF WOlU{ ~'l;uA6a hY.::nK. Ih::::a;::::. <br /> <br />BUILDING SIZE _ <br /> <br />SQUARE: FOOTAGE <br /> <br />HEIGHT. <br /> <br />RESIDENTI~L: ATTACH (2) PLOT PLANS & (2) SETS o~ BUILDING PLANS & (1) BET ENERGY FORMS. <br />COMMERCIAL: ATT1\.CH' '(3) SETS OF BOILDlNG PLANS & (1) SET ENERGY FORMS. <br />It SIGN PERM~T ONLX (2) SETS of ENGINEERgD PLANS REQUIRED, <br />PROPERTY SURVEY REQUIRED fOR ALL NEW CONSTRUCTION, <br /> <br />PERMITS REQUESTE~ <br /> <br />o BUILDING <br /> <br />G)..;), <br />$ I 3 q. . OD_ V}\L~ATION OF TOTAL CONSTRUCTION. <br /> <br />. .' <br /> <br />o progress Energy 0 <br /> <br />W.R,E.C. <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAY <br />o GAS ~OOFING <br /> <br />AMP SERVICE <br /> <br />o SPECIALTY <br /> <br />VALO~TION OF MECHANCIAL INST~LLATION <br />o OTHER <br /> <br />~E~L <br /> <br />. 0 OTHJ!<R <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o FRAME <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES 0 NO <br /> <br /> <br />SIGNATUR <br /> <br /> <br />COMPANyW/Ni})W !5ufJPLI/ Ilye!- <br />. . STATE CERT OR REGIST t (!~.(YJ/X'(p,L,) <br />~**********~****~*****'/I~**********************'/I**** I. <br /> <br />:BUILDER <br /> <br />:mr.IlC~:RJ:CI.1Uf <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />. . <br />STATE CERT OR REGIST # <br /> <br />******************~*********'/I************************************* <br /> <br />p1..UMBli:R <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR RreGIST * <br /> <br />'/I * '/I * * * * * * 0/1 * * * * * * 0/1 '/I * * * * 'It * '/I '" '/I * * * -* '/I '* * * * * * * .. * *,* * * * * * *"* '* * *.. * * *:* * * *.. * w * '/I <br />COMPANY <br /> <br />:tdEC~ICA!. <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />**********'/I********W**********W****~**W*********W**************** <br /> <br />O~lllill< <br /> <br />COMPANY <br /> <br />'. <br /> <br />STATE CERT OR REGlST * <br /> <br />5I~NATURE <br />