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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ -1 \ <br />IvICI ,:_A~) -\-() <br /> <br />DATE RECEIVED <br />PLANS REVIElf FEE <br /> <br />OWNER'S NAME r~ ~l q..~ D~ ~( 'hi \\5 <br />JOB ADDRESS ~23a,5 i\ \5t0n A\.le ~le.-p~~bLLls <br />LEGAL DESCRI PTI ON: LOT (S ) 3 BLOCK 1) <br />PARCEL ID II \?)";?~'dl'DC:Aq .cp~ .ao3b <br /> <br />PHONE .sBb ~b ~C:Cbf1 <br />, 'f=L 33Sl\iJ <br /> <br />SUBDIVISION Z \),ne S <br /> <br />(OBTAIN FROM PROPEIITY TAX NOTICE) <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />cB::OOFI9 <br /> <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~COMMERCIAL <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />-sh't ()3\ e ~ - 1<Dt)-f' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />d3LJa <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS &. (1) SET ENERGY.. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />F~'.\ <br />./.--\ <br /> <br />] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />.,./ <br /> <br />// ~900 I <br />U' <br /> <br />W.R.E.C. <br /> <br />'';-' <br /> <br />PERMITS REQUESTED <br /> <br />] BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />] PLUMBING <br />] MECHAN I CAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />] GAS <br /> <br />!2(ROOFING <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 />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />D NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING II <br /> <br />****************************************************************** <br /> <br />~COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING tI <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />*************************************************************.**** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY l'HOCES::;ING il <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING #I <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />ad <br />L <br /> <br />COMPANY MILBAR CONSTRUCrION, INC. <br />STATE CERT OR REGIST #I ccc 051562 <br />CITY PROCESSING #I 218 <br /> <br />OTHER <br /> <br />*************~*************************************************** <br />