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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 2871 <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME Ankerstein, Erika PHONE 813/788-1663 <br />JOB ADDRESS 38539 Naomi Avenue, Zephyrhills, FL 33540 <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 />[J ADDITION <br /> <br />[JALTERATION <br /> <br />[J REPAIR <br /> <br />[J INSTALL <br /> <br />[J SIGN <br /> <br />[J MOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: GaSGL FAMILY DWELLING <br />[J COMMERCIAL <br /> <br />[JMULTI - FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />o SWIMMING POOL <br /> <br />[J MOBILE HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SHINGLE RE-ROOF <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 21 00 <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: 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 /> <br />[J BUILDING <br /> <br />$ 2,767.50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o 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 />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D 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 />OTHER ~~ <br />SIGNATURE J6 r::;;--It- <br /> <br />COMPANY MILBAR cu.J'STRUcrICN, INC. <br />STATE CERT OR REGIST # OOC 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />