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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED <br />PLANS REVJ:EW FEE <br /> <br />OWNER'S NAME The Center for Independence, Inc. <br /> <br />PHONE (727) 942-5454 <br /> <br />JOB ADDRESS Montano Group Home 5324 <br /> <br />18th street, Zephyrhills, Florida 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID ff .ll- dCn - ~ \ - t~)(O ~ 11-4--00 - 0 I 10 {OBTAIN FROM PROPER'I'Y TAX NOTICEl <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />IXIADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />IKIMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />Add to existing dining room <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 />mJ BUILDING $ 2,000.00 VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. <br />0 PLUMBING <br />o MECHANICAL $ N/A VALUATION OF MECIIANCIAL INSTALLATION <br />o GAS o ROOFING o SPECIAL'l'Y 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />I&J FRAME <br /> <br />D STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />.;;[',i:i!::!lli!'lii;!II!;~gB:R~lf':;T~ .. <br /> <br /> <br />BUILDER <br />SIGNATURE ~ 5~t:tz:- <br /> <br />COMPANY Schlotter Construction, Inc. <br />STATE CERT OR REGIST # CGC-007984 <br />CI'fY PROCESSING 1# 2522 Certified <br /> <br />****************************************************************** <br /> <br />ELECTlUCIAN <br /> <br />N/A <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />N/A <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />N/A <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />N/A <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />