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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI ~A <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />11' <br /> <br />OWNER"S NAME5r~ fYYl. rl L\ (')d Cu <br />. I <br /> <br />WORK PROPSED: [JNEW CONSTRUCTION <br /> <br />Os I GN <br />PROPOSED USE: ~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />[J ADDITION [JAL'l'ERATION [J REPAIR [J INSTALL <br />" ---- <br />[J MOVE 0 DEMOLISH ( .~~:.~ <br /> <br />[JMULTI-FAMILY [J" OF UNITS [J MOBiLE HOME <br /> <br />o INDUS'l'RIAL <br /> <br />[J SWIMMING POOL <br /> <br />[J OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Sh, "'Jle. ~~ QDCJ' <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />a30a <br /> <br />HEIGHT <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 />] BUILDING <br />] ELECTRICAL <br />] PLUMBING <br />] MECHANICAL $ <br />] GAS ~OOFING [J SPECIALTY <br /> <br />$~C1R,rr) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />VALUA1'ION OF MECHANCIAL INSTALLATION <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />[J S'fEEL <br /> <br />[J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES [J NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST " <br />CI'l'Y PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />· COMPANY <br />STATE CERT OR REGIST n <br />CITY PROCESSING " <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />**********~******************************************************* <br /> <br />COMPANY: <br />STATE CERT OR REGIS'f It <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />JTHER <br /> <br />~~'lL <br />.A ~ <br /> <br />COMPANY MILBAR ~STRUcrrOO, INC. <br />STATE CERT OR REGIST " OOC 051562 <br />CITY PROCESSING It 218 <br /> <br />HGNATURE <br /> <br />***************************************************************** <br />