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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 3169 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME FLORA MCCLAIN <br /> <br />PHONE 813/783-2220 <br /> <br />JOB ADDRESS 39050 9TH AVENUE, ZEPHYRHILLS, FL 33542 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL ID # 12 26 21 002A 02300 0020 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: (JNEWCONSTRUCTION <br />(J SIGN <br /> <br />(J ADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J MOVE <br /> <br />(J DEMOLISH <br /> <br />ROOFING <br /> <br />PROPOSED USE:KJSGL FAMILY DWELLING <br />(J COMMERCIAL <br /> <br />(JMULTI-FAMILY <br />(J INDUSTRIAL <br /> <br />(J# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE 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 <br /> <br />2300 <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 />$ <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 />(J MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J GAS <br /> <br />IX] ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />(J FRAME <br /> <br />(J STEEL <br /> <br />(J 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 />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 # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**** * ******.** * ******* * ** ****** * *** * * * ***" *** "***"" "***"" *"" ** *""" * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />""********""***********"**"*************"*"********************** <br /> <br />OTHER <br /> <br />rJUk (jIJ <br /> <br />COMPANY MILBAR (X)NSTRUcrION, INC. <br /> <br />STATE CERT OR REGIST # CCC 051562 <br />CITY' PROCESSING # 218 <br /> <br />SIGNATURE <br /> <br />********"**"*******"***"*"*"******"""*********"****************** <br />