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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 3~;) S' <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~hL,t_-k- DLLlQJ.'-e..., PHONE <f)Y~113(j-,g I~ <br />I . <br />JOB ADDRESS L, S?) ~ ~'(~\CLk p 1J.r\V'~ Le.f>~~ ( h \ llSj Q,~5S~ <br />LEGAL DESCRIPTION: LOT (S) 'Xl. BLOCK - SUBDIVISION 0\ \ \J-ex' DOJL.s ~ <br />PARCEL ID It 'tJO~~. ~\. b\ ~D 'l\bDDD-t{6 \ C\ {OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />Os I GN <br /> <br />o ADDITION <br />o MOVE' <br /> <br />o AL'l'ERA'l'I ON <br /> <br />o REPAIR 0 INSTALL <br /> <br />~ <br /> <br />UNI'rS 0 MOBILE <br /> <br />HOME <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE:~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />OMUL'n-FAMILY <br />o INDUSTRIAL <br /> <br />Olt OF <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH <br /> <br />t~~~:*YI~t<.Q -~ <br /> <br />DEPARTMENT APPROVAL <br /> <br />p, (ldwJ h..r. C LJ~p% lfl~. ~ <br />FOO'l'AGE L/-C? () 0 <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />SQUARE <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 />] BUILDING <br /> <br />PERMITS REQUESTED <br />1 D I q to'CQ ,t1'J... VALUATION OF 'fOTAL CONSTRUCTION <br />, <br /> <br />] ELECTRICAL <br /> <br />($ <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />] PLUMBING <br /> <br />] MECHANI CAL \y $ <br />] GAS Ii ROOFING 0 SPECIALTY <br /> <br />VALUA'l'ION OF MECHANCIAL INSTALLATION <br /> <br />D OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />D FRAME <br /> <br />D S'fEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES D NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CI'l'Y PROCESSING It <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 ff <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STA'rE CERT OR REGIS'f It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />ROOFING a <br /> <br />0- ~ <br /> <br />COMPANY MILBAR CONSTRUcrrOO, INC. <br />STATE CERT OR REGIST It coc 051562 <br />CITY PROCESSING ff 218 <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />