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<br />I I <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MeI 3~b <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME G (" \ () d \ e- ) ~?\f='y,r k- tt GO-L- \ <br />JOB ADDRESS 5'1 t L.\ (~i:b Shfe + z E' r~y h.A-Lls <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK 02~ <br />PARCEL ID ff \\-&lr02\:"bD\D-~ll""l--D\rtG <br /> <br />PHONE~I/<6g- <br />':\=L 335t.t;;> <br /> <br />'I ()J31f <br /> <br />\ <br />SUBDIVISION ~. -\y O{ <br /> <br />z- h-011S <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION oALTERA'fION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH ~ <br />PROPOSED USE: OOSGL FAMILY DWELLING OMUL'fI-FAMILY Off OF UNI'fS o MOBILE HOME <br /> o COMMERCIAL o INDUS'fRIAL o SWIMMING POOL o OTHER <br /> <br />c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK 1=\Q-t ~-;-=Kt:{')+ l?roAt It'+ ~~. ~ "... FL-tB68 <br />BUILDING SIZE SQUARE FOOTAGE (~a() HEIGHT <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 REQbIRED FOR ALL NEW CONSTRUCTION. <br /> <br />: PERMITS REQUESTED <br /> <br />rI BUILDING <br /> <br />$ l) 3Q5.tJO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />o MECHANICAL $ <br />o GAS 1!11' ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLA'l'ION <br /> <br />o OTHER <br /> <br />.J <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 AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST ff <br />CI'l'Y PROCESSING f# <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />· COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STA'fE CERT OR REGIS'f 11 <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />* * * * * **** * *.** * * ** ***-.1' * * * **** ** * ** *** * * ** * * * * * ** ** * * *** ** * * * ** * * * * * <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST 11 <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />********************~******************************************** <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />~ <br /> <br /> <br />********************t******************************************** <br />i <br /> <br />COMPANY MILBAR CIlNSTRUcrION, INC. <br />STATE CERT OR REGIST 1# acc 051562 <br />CITY PROCESSING 1# 218 <br /> <br />OTHER <br />