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<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 2961 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME MARY SASSAMAN PHONE 813/782-6457 <br /> <br />JOB ADDRESS 7251 APPLEGATE DRIVE, ZEPHYRHILLS, PI. (ALPHA VILLAGE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID n 35'" d5-aI- l)(6D - (.;0000 - ()/ DO (OBTAIN FRQM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: [JNEWCONSTRUCTION [JADDITION [JALTERATION [J REPAIR [J INSTALL <br /> DSIGN o MOVE 0 DEMOLISH eRE-ROOF -=> <br />PROPOSED USE:t9SGL FAMILY DWELLING DMULTI-FAMILY On OF UNI'rS o MOBILE HOME <br /> o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />SHINGLE RE-RooF <br /> <br />(22 SQS) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 2200 <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 />o BUILDING <br /> <br />$ 2,499.99 <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 />o OTHER <br /> <br />'l'YPE OF CONSTRuc'nON: [] BLOCK <br /> <br />[] FRAME <br /> <br />[] STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING ff <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING n <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <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 ROOFING ~ <br />SIGNATURE ~ )~ <br /> <br />COMPANY MILBAR CXl\fSTRUcrIOO. INC. <br />STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA <br />CITY PROCESSING # 218 <br /> <br />***************************************************************** <br />