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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 2801 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />VILLAGE INN ~ \lith ris . \ n~ . <br /> <br />PHONE 813/782-9556 <br /> <br />JOB ADDRESS 5214 GALL BOULEVARD, ZEPHYRHILLS, FL 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1D # --L1 dJ, :1.\ 0010 llt;lb DO ()2.~O <br /> <br />(OBTAIN FRQM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: []NEWCONSTRUCTION <br /> <br />[] ADDITION <br /> <br />[]ALTERATION <br /> <br />m REPAIR <br /> <br />[] INSTALL <br /> <br />[] SIGN <br /> <br />[] MOVE <br /> <br />[] DEMOLISH <br /> <br />PROPOSED USE: []SGL FAMILY DWELLING <br />[] COMMERCIAL <br /> <br />[]MULTI-FAMILY <br />[] INDUSTRIAL <br /> <br />[]# OF UNITS <br />[] SWIMMING POOL <br /> <br />[] MOBILE HOME <br />[] OTHER <br /> <br />5[J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK ROOF OVERLAY OF THE EXISTING FLAT BUILT-UP ROOFING SYSTEM <br />BUILDING SIZE (85' X 80') SQUARE FOOTAGE 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 />0 BUILDING $ 23,800.00 VALUATION OF TOTAL CONSTRUCTION <br />[] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. <br />[] PLUMBING <br />[] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION <br />[] GAS KI ROOFING [] SPECIALTY [] OTHER <br /> <br />'l'YPE OF CONSTRUCTION: [] BLOCK <br /> <br />i [] FRAME <br /> <br />[] STEEL <br /> <br />[] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[] YES [] 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 It <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY. <br />STATE CERT OR REGIST # <br />CITY PROCESSING # 218 <br /> <br />SIGNATURE <br /> <br />********************~******************************************** <br /> <br />OTHER ROOFING <br /> <br />SIGNATURE <br /> <br />COMPANY MILBl\R ~STRUcrIOO, INC. <br />STATE CERT OR REGIST # OCC 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />