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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 3299 <br /> <br />DATE RECEIVED ~ t2J.-o 1- <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME--.NOnCY K..u.r.J ,~ <br />JOB ADDRESS 5735 ~ th Street <br /> <br />PHONE g 13 783- aLl ao <br />ZephyrbLJ1.s FL 335~2 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID It JJ~l~.~J-OOIIJ- 08,~()O -()% <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPSED: (JNEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />o AL'l'ERA'l'I ON <br /> <br />(J REPAIR <br /> <br />(J INSTALL <br /> <br />PROPOSED <br /> <br />Os I GN <br />USE:~GL FAMILY <br />o COMHERCIAL <br /> <br />DWELLING <br /> <br />(J MOVE 0 DEMOLISH (1.. ROOFING") <br />(JMUL'rI-FAMILY (J1t OF UNITS (J MOBILE <br /> <br />HOME <br /> <br />(J INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />22. SQS Shin~ Ie. <br />z .<:;~S Flat' 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 />$ l,c~ 30 . 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />(J 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 />o GAS ~ROOFING (J SPECIALTY <br />TYPE OF CONSTRUCTION: (J BLOCK <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />(J OTHER <br /> <br />(J FRAME <br /> <br />(] STEEL <br /> <br />(] OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE ARI~D YES 0 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 It <br />CITY PROCESSING It <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 />KJf){//l <br /> <br />COMPANY MILBAR <XJNSTRUcrION, INC. <br />STATE CERT OR REGIST # acc 051562 <br />CITY PROCESSING # 218 <br /> <br />OTHER <br /> <br />***************************************************************** <br />