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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Mcr 3289 <br /> <br />DATE RECEIVED :'$ -- !J /- 0 f <br />PLANS REVIEW FEE <br /> <br />OWNER'S tJAME <br /> <br />I~~\,^ ~ VV\~'I'1 <br /> <br />~ \ ).:-(' ~ 7ot.. or <br />, <br /> <br />~!.\I'>(.;~_b\c. Tn..~'l"'"" PHONE gloJ7~2 .15.lt\ <br /> <br />JOB ADDRESS <br /> <br />lD\~ <br /> <br />\1,", Wt..~-T <br /> <br />7..-t ~"'~., V\ \ II '0. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # <br /> <br />07 .l..I.t. 2.\- o\~ 0 . DUl'lUO. 02,u <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />(JADDITION <br /> <br />(JALTERATION <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />(J SIGN <br />PROPOSED USE:~L FAMILY DWELLING <br />(J COMMERC IAL <br /> <br />(J MOVE (J DEMOLISH ~FIN0 <br />(JMULTI-FAMILY (J# OF UNITS (J MOBILE <br /> <br />HOME <br /> <br />(J INDUSTRIAL <br /> <br />(J SWIMMING POOL <br /> <br />(JOTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />_ (~\~,...... I;) ~C\ ~ <br />g'v\\ ~\l4.. HA-t ~.~Ie~ f\~ ~ ~(l",,-l <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />(J FLORIDA POWER <br /> <br />(J <br /> <br /> <br />(J BUILDING <br /> <br />$ ~ I~O,6:J <br />. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J PLUMBING <br />o MECHANI CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLAT <br /> <br />o GAS <br /> <br />E( ROOFING <br /> <br />(J SPECIALTY <br /> <br />(J OTHER <br /> <br />TYPE OF CONSTRUCTION: ~ 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 AREA(J YES (J 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 />SIGNATURE <br /> <br />~ r:2/L <br /> <br />COMPANY MILBAR CONSTRUcrION, INC. <br />STATE CERT OR REGIST # acc 051562 <br />CITY PROCESSING # 218 <br /> <br />OTHER <br /> <br />***************************************************************** <br /> <br />t <br />t>3}a~(~ ~9l (ld ~Iolit~ <br />