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<br />APPLICATION FOR PERMIT <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Me! 3ft; 0 0 <br /> <br />DATE RECEIVED <br />PI.J\NS REVIEW FEE <br /> <br />OWNER'S NAME GVi nd Ie, Fr-e deyicJL- OlYld Gal I <br />) <br />JOB ADDRESS 5r"\ \ L\- eo4:b s-h-cc.+ 7-~'1y bills L <br /> <br />iX,., <br /> <br />PHONE 8/6/'7 ~g- rios'l <br />A- .3~5Y-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) 1'1,18. lq, 20 BLOCK <br />PARCEL 10 n \ l-alJ-O('I ~ DOlO - Da'lOD- D\ '1 D <br /> <br />SUBDIVISION -.tL:h r tJ+ z-e..phyvhll\s <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH ~OOFING) <br />PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY Oft OF UNITS o MOBiLE HOME <br /> '....,.. o OTHER <br /> "COMMERCIAL o INDUS'l'RIAL o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL I' C C' C'D.r')L V'\Y) (I <br />'-"t-f Am \(.0 E'l \ +~ &- C/....uu '-...X.YL f--t'l c- <br />DESCRIP'l'ION OF WORK Snl r)jli'... ~t"-Qoot Pr-CdU6t A-ppmva.J* FLlct5~ <br /> <br />BUILDING SIZE SQUARE FOO'l'AGE 3pDO~fee...r-HEIGIl'1' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 />$ 6 Co((S.Q6 <br />J <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />] PLUMBING <br />] MECHANIC <br /> <br />$ <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />] GAS <br /> <br />liZf ROOFING <br /> <br />o SPECIAL'l'Y <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o S'fEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST ft <br />CI'l'Y PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />'COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING II <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STA'fE CERT OR REGIS'f It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />~5a .' <br />A ~U2P <br /> <br />COMPANY MILBAR (XXIlSTRUCl'IOO, INC. <br />STATE CERT OR REGIST It OOC 051562 <br />CITY PROCESSING II 218 <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />