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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYIUIILLS <br />BUILDING DEPARTMENT <br /> <br />Mcr 2822 <br /> <br />DATE .RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME AYERS, WENDY <br /> <br />PHONE <br /> <br />813/788-4129 <br /> <br />JOB ADDRESS 5122 19TH STREEI', ZEPHYRHILLS, FL 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # -1\- ~lo- 9...1-=-.0.0-10- PJ)OOD-OOw 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEWCONSTRUCTION [JADDITION [JALTERATION Ii2f' REP AI R [J INSTALL <br /> [J SIGN [J MOVE [J DEMOLISH <br />PROPOSED USE: Ik1'SGL FAMILY DWELLING [JMUL'rr-FAMILY [J1t OF UNITS [J MOBILE HOME <br /> [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />SHINGLE RE-ROOF <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />2700 <br /> <br />HEI GH'l' <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 />[J BUILDING <br /> <br />$ <br /> <br />4,277.00 <br /> <br />PERMITS REQUESTED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[J ELECTRICAL <br />[J PLUMBING <br />[J MECHANICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />KI ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />'l'YPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J STEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJEC'r IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~*********J********************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING It 218 <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />~~(j1 <br />SIGNATURE ~ ~ <br /> <br />***************************************************************** <br /> <br />COMPANY MILBAR cnlSTRUcrION, INC. <br />STATE CERT OR REGIST It OOC 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />