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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUXLDXNG DEPARTMENT <br /> <br />MCI 2793 <br />DATE RECEXVED <br />PLANS REVIEW FEE <br /> <br />Nelson, Clarence / Ibrothy PHONE <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />4824 16th street, Zephvrhills. FL 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />{OBTAIN FRQM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEWCONSTRUCTION <br /> <br />[JADDITION <br /> <br />[JALTERATION <br /> <br />t9 REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE:fJSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[JOTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SHINGLE RE-RooF <br /> <br />(18 sqs) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAJ~: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> PERMITS REQUESTED <br />[J BUILDING $ 1,975.00 VALUATION OF TOTAL CONSTRUCT I <br />[J ELECTRICAL AMP SERVICE [J FLORIDA POWER <br />[J PLUMBING <br />[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[J GAS KI ROOFING [J SPECIALTY [J OTHER <br /> <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />* ******* ***.*** * ************ *** *** * * * **** * * ** *** ** * **** ******* *** * * <br /> <br />MECHANICAL <br /> <br />COMPANY: <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 218 <br /> <br />SIGNATURE <br /> <br />*********************~******************************************* <br /> <br />OTHER <br /> <br />ROOFING <br /> <br />SIGNATURE <br /> <br />COMPANY MILBAR (.'(NSTRUcrIOO, INC. <br />STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />