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<br />APPLICATION FOR PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUIIDINGDEPAR'l'HENT <br /> <br />MCI 27}q D <br /> <br />DATE RECEIVED <br />PLANS REVIEH FEE <br /> <br />. ~'; <br /> <br />OWNER'S NAME r~i m tJV" p U,i ..; LO~ \1\ (\\11 <br />JOB ADDRESS 3 B4 ~ \ \ &-B:l A"-Jelvu....e... <br />LEGAL DESCRIPTION: LOT(S) \ \" \~ ~cl \6 BLOCK.3 to <br />PARCEL ID ## \ \ - ~ to J 02 \ - D()\ Cl - D3 (oti:) - G\ \l-\ <br /> <br />PHONE B 13}l1 ~ - Olotn;;). <br /> <br />Il:)u..::. r) ,of . ' , i i <br />SUBDIVISION U .r'\hu rhA: \ l.s <br />--r \ <br />(OBTAIN FROM PROPERTY TAX NOTICEI <br /> <br />WORK PROPSED: [JNEW, CONSTRUCTION <br />[J SIGN <br />USE:~L FAMILY DWELLING <br />,~ <br /> <br />[J COMMERCIAL <br /> <br />[JADDITION <br /> <br />[JALTERATION <br />[J DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />[J MOVE <br /> <br />(:ROOFING) '\ <br /> <br />PROPOSED <br /> <br />OMUL'rI-FAMILY <br />o INDUSTRIAL <br /> <br />0## OF UNITS <br />. 0 SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />,~'-Y\ 1'9\ e.. <br /> <br />C4Jd + ILL4-- -Be --' R~M . ~\ l~ <br />,~1c, J \11 -+ I ('I SOl s --.) r\.\ <V:) S <br />SQUARE FOOTAGE_~ HEIGH'l' <br /> <br />PLANS & (2) SETS OF BUILDING PLANS & (1) SE~ ENERGY FORMS. <br />OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />BUILDING SIZE <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLO'I' <br />ATTACH (3) SET~ <br />PROPERTY SURVEY <br /> <br />PERMITS REQUESTED <br /> <br />[J BUILDING <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL $ <br />::J GAS ]a ROOFING 0 SPECIALTY <br /> <br />$ 4., \\.01..0 qy <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />VALUA'l'ION OF MECHANCIAL INSTALLATION <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />[] FRAME i <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />.. <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO', <br /> <br />, ' <br /> <br /> <br />1:-' <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CER1' OR REGIST ## I I. <br />CI'l'Y PROCESSING ft <br /> <br />.( <br /> <br />SIGNATURE <br /> <br />1 ~,I, <br /> <br />****************************************************************** <br />. I <br /> <br />ELECTRICIAN <br /> <br />'COMPANY <br />STATE CERT OR REGIST ## <br />CITY PROCESSING ## <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING It <br /> <br />. " . I. <br />**********~****************~*************~******************~***** <br />COMPAN~ <br />STATE CERT OR REGIST It <br />CITY PROCESSING ## <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />. <br /> <br />***************************************************************** <br />; <br /> <br />SIGNATURE <br /> <br />~~~ <br /> <br />COMPANY MILBAR CONSTRUcrION, INC. <br />STA'l'E CERT OR REGIST #-CCC 051562 <br />CITY PROCESSING ft 21'8 J ,;, <br /> <br />OTHER <br /> <br />***************************************************************** <br />