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<br />APPLICATION FOR PERMIT <br />CIn OJ' ZEPHYRHILLS <br />BUILDINGDEPAR'l'MENT <br /> <br />Mcr 3500) <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />I'; '. <br /> <br />PHONE 812~/1 R9-5~O\ <br />Z-c- - Lt 38S4d <br />LEGAL DESCRIPTION: LOT(S) \ \~ \ 3 BLOCK I . tf1SUBDIVISION~-l-t1-DP 2-hUls <br />PARCEL ID # \ \- 2.Lt> - Z-l -C;o \() - 0"1 30D - all 0 COBTAIN FROM PROPERTY TAX NOTICEl <br /> <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />WORK PROPSED: ONEW. CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 . ciOOFI~ '. <br /> DEMOLISH <br />PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br /> .' <br /> o COMMERCIAL o INDUSTRIAL ' 0 SWIMMING POOL o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />~}(\\ ng l p <br /> <br />ann) F1M Re- Roo+' <br />s\^. \ (\~ \e.:= ciIF <br />SQUARE FOOTAGE. =P\O--\; ~ <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 />$ 5, ~O ft;, (ft) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br />o GAS '-ROOFING <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />. . <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAo YES 0 NO <br /> <br />"(I <br /> <br /> <br />':-' <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANX <br />STATE CER'l' OR REGIST #./ ,!, <br />CITY PROCESSING U <br /> <br />,\ . t'oi <br /> <br />****************************************************************** <br />10 . <br /> <br />Ii- <br /> <br />· COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING # <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIS'f 11 <br />CITY PROCESSING 1# <br /> <br />**********~****************i********************************~***** <br />COMPANY <br />STATE CERT OR,REGIST 1J <br />CITY PROCESSING # <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />. <br /> <br />...................................*..*************************** <br /> <br />SIGNATURE <br /> <br />ROOFING <br /> <br />~~~ <br /> <br />... .. ...<' <br /> <br />COMPANY MILBAR ~STRUcrIOO, INC. <br />STATE CERT OR REGIST # acc 051562 <br />CITY PROCESSING U 218...., '" ' <br /> <br />OTHER <br /> <br />***********************~***************************************** <br />