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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DBPART~NT 5335 8~ STREET ZEPHYRHILLS, FL 335.0 <br />PhoneI813-780-0020 FaxI813-780-0021 <br />DATE RBCEIVBD ~ -;z. 8-'0':<- <br />PLANS RBVIBW PBE <br /> <br />OWNER'S NAME ~ e ef ~~.ArZ: V,-- Cot It 4'~ <br />/ <br />JOB SITE ADDRESS <; 7S-3' Z?R'()~4?oc.);t'-<- <br /> <br />PHONE CONTAC~Lr~~-/7~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br /> <br />PARCEL ID # <br /> <br /> <br />- 'e:>O() (.}.- 0 01 ~ _t!:J C d 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />[J ADDITION <br /> <br />[J ALTERATION <br />[J DEMOLISH <br /> <br />[JREPAIR <br /> <br />D INSTALL <br /> <br />[JSIGN <br /> <br />[JMOVE <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />OMULTI - FAMILY <br /> <br />D# OF UNITS <br />D SWIMMING POOL <br /> <br />~ILE HOME <br /> <br />D COMMERCIAL <br /> <br />D INDUSTRIAL <br /> <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 1 ~1' {",. CJL-,*~r ~ d,-c... ttd.,~ <br />BUILDING SIZE /~ K ~J7 SQUARE FOOTAGE .J'R"u <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (-2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ /530 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />/dl <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />D NO <br /> <br /> <br />~/ <br />SIGNAWR -~ce~ <br /> <br /> <br />~***************************************************************** <br /> <br />- ') <br />E~ COMPANY 1=e.-e:. E.L:E.~l<"'" <br />. 1'/' J 0 STATE CERT OR REGIST # ER-0004b4o <br />SIG ATURE ~Lcr- (}' ~~ CITY PROCESSIV \exo <br /> <br />****************************************************************** <br /> <br />COMPANY <;:r-_4/;A....-.::s. Z",I4c>~: t... ~"~t~ <br />STATE CERT OR REGIST # I'}; otJov S/a <br />CITY PROCESSING # //3 D / I <br />V C <br /> <br />~ <br /> <br />SIGNA <br /> <br /> <br />COMPANY S:T~...(.__ ..J'. :?~..-4<. ::t=""'~~<-/I... <br />STATE CERT OR REGIST #::t:H ab-,~ I () <br />CITY PROCESSING # <br /> <br />MBCHANICAL <br /> <br />****************************************************************** <br /> <br />SIGNATURE /p; ~ .D g "- "'-' ;'""tJ <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />