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<br />04-21-2006 15:02 A 8EAR REFRIGERATION 8138746713 <br /> <br />CITY OF ZEPHYRHILLS PERMr~ APPLICA~ION <br />BUILDrNG DEPAA'l'l<<NT ~33S 8'" St, Zephyrhl11B, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />PAGEl <br /> <br />OWN1CIl.' S HAKl!: <br /> <br />f)frm/s ,:j]JA.oaN <br />S-f4'd /gt.ft., .sf <br /> <br />DM'i: RECEIVED <br />PHONE CO!n'AC:l; fQ~ ~~n'l~Gi ~ r:7L/ -').t-Jt.f3' <br /> <br />PHONE S('?-77R-G,357 <br /> <br />JOB ADDREsS <br /> <br />Pl\RC!:L ID If <br /> <br />I.EOAL DF;SC~rp'l'ION: t.OT(S) BLoCK Sl1DDIVISloN <br />{ l-d0 - .JI- 00/0- II00oo-O~OO(MT'l\TN ~(170( ~ROPF.R"y <br /> <br />WORK pnOPSEU: [JN~W CONSTRUCTION <br /> <br />TAX NnTlr~) <br /> <br />OSIeN <br /> <br />o PoDDI'rION <br />o MOv!': <br /> <br />o ALTERAT TON <br /> <br />[J REPAI: 1\ <br /> <br />o 1NSTALI. <br /> <br />[J lJEHOLIStI <br /> <br />PMPOS"~D USE: r:JSGL FAMILy DNELLrNC <br />OCOMMERCIAL <br /> <br />OMUL'U- F1IMILxo <br />o INDUSTRIAL <br /> <br />0, OF UNITS <br />Cl SWIMMING POOL <br /> <br />o ~OBlLE IlOME <br />o OTHER <br /> <br />./ <br /> <br />CJ RES1'AURANT , lIEAL'tl:l OEPARTMENT Al'PROVAL <br />PiilQUrUQN or ax .E.q(A.~C GhCllrf'oof lJir.hoh!1u1 fCcnJ!n.fJll~, J JS(l,i/ ~ J,'s(t~J ; uAPJ <br /> <br />BUILDING SUE <br /> <br />SOUJUU: FOOTAGE <br /> <br />HElGaT <br /> <br />RESIDENTIAl,: ATtACH (2) PT.oT l':L.1INS & (2) SETS OF BUILOING PLA)/S , Cll SET ENEAGY FORMS. <br />C<>>D1ERCIAT.: A'rTJI,CH (Jl SETS Ot" BUILDING PLANs & (1) SF-T ENEI-tGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF eNGINEERED ~LANS REQUIR~D. <br />PRO~'E~TY SUHVF.Y REQUIRED FOR J\LL NEIf CONST~l]CTION. <br /> <br />PERMJ:~S REQUESTED <br /> <br />o BUILD.tNG <br />l( ELEC~'nlCAL <br /> <br />$ <br /> <br />V~UATION OF T01'AL CONsrRUCTION <br /> <br />11MI' S~RVrCE <br /> <br />o FLoalOA POWER <br /> <br />o <br /> <br />N.R.E.C. <br /> <br />.~..€.;,,--- <br /> <br />::J PLUMBING <br />K\HECHANJ:C.I\L $ ~03.;l <br />:J GAS 0 ROOFING 0 Spr:;CIALTY <br /> <br />VP.LUATION or ~~CfWf<;!Mt IN'~1MW\TIQN <br />Cl OTHER <br /> <br />TYPE Oli' COlllS'l'RUCTICll1l: 0 BLOCK <br /> <br />o FAAME <br /> <br />o STEEL <br /> <br />o OTm:R <br /> <br />FINISHED FLOOR EL~V1\TIONS <br /> <br />IS PROJ~CT IN FLOO)) ZONE AAVlO YEs 0 NO <br /> <br />~~!9IV~SEC~~~ .=m <br />COMPANY- <br /> <br />BuIWER <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST . <br /> <br />. .~.. <br />. . <br /> <br />. '11>. '.' <br />,\. .rtc~ . <br />(0l-Ji - ~ . <br /> <br />EI.I:CTlUCIAN <br /> <br />*...******....*****...***~~~*...**.****...******~..*.*.*** <br /> <br />~- ~v.>e4*~~ANr~(C1\f tleCfjl;C <br />- l? ---.." ''''r' _ <br />-- R......y (" STATE C/::RT OR REGtST. SJZ. CX)Oq-Jf " <br /> <br />.! '. <br /> <br />5IGNATUIU; <br /> <br />............................................................t..... <br /> <br />PUJlGlIi:R <br /> <br />COMPANY <br /> <br />$lGNA~ STATE CEilT OR RE~IST , <br /> <br />.......~.... <br />. . . - - '. <br />. . <br />...~...~ <br />C"~c\~,.... <br />u 't. .... <br />. . . <br />. . . <br /> <br />.****.A...~...~.~......**~...4.**.**......*.**......*.*~*.~.....** <br />MECHAN!CAI. COMPANY t4 _ B-ea...R.. A c.... <br />SIGNATURE ~~ 8....Il,,~c. / STAT~ Cr.RT OR ~G~ II CACrB/t.{g;;;;."" <br /> <br />..... <br /> <br />.~~****....*~***.~....~.***......~*.**.....~*****..._-*****...... <br /> <br />.... " <br />;' . :......:...~.,..::;.<", <br /> <br />., .', . <br /> <br />JTm;R <br /> <br />COMI'1\NY' <br /> <br />SIGNATUIlE; <br /> <br />STATE CEI-tT OR REGIS~ f <br /> <br />~: . <br />