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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 2823 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME <br /> <br />BCM1ER, THEODORE M. <br /> <br />PHONE <br /> <br />813/715-0669 <br /> <br />38548 NAOMI AVENUE, ZEPHYRHILLS, FL 33540 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL ID # -00 - a~- ;21- DO? 13. -DDOOO-DOfoD <br /> <br />SUBDIVISION <br /> <br />{OBTAIN FRQM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW. CONSTRUCTION o ADDITION DALTERATION rn REPAIR o INSTALL <br /> o SIGN o MOVE 0 DEMOLISH <br />PROPOSED USE: ~SGL FAMILY DWELLING DMUL'f! - FAMIL Y 0# OF UNITS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SHINGLE RE-RooF (RESIDENCE & SHED) <br />2100 <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 /> <br />o BUILDING <br /> <br />$ 2,870.00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />KJ ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />'l'YPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 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 />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 />m;:;JJ1 <br />SIGNATURE , . <br /> <br />OTHER <br /> <br />COMPANY MILBAR a:r.rSTRUCI'IOO, INC. <br />STATE CERT OR REGIST # OOC 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />