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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Mcr <br /> <br />~nl'5=< <br />--- ~ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OWNER'S NAME-Leel ~l'(? ~fY ~ YV6~r::.. <br />JOB ADDRESS ~Y \ "l ~-f'+wDcd ::by"Ne <br />I BLOCK I\OYl e.. <br />PARCEL ID #I 0+' 021o- tX /- 003~ ~ ODGO 0 - ~( 0 <br /> <br />PHONE cz:, Y(S I --i 28 ~4-EXS~ <br />~~'(~\\~ jFL3~ <br />SUBDIVISION BrrntGO~d <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />'..t. <br /> <br />WORK PROPSED: ONEW CONSTRuc'rrON <br /> <br />o ADDITION <br /> <br />OALTERA'rION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE: ~GL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />~...-~ <br />C~~FI~ <br /> <br />OMUL'rr - FAMILY <br />o INDUS1'RIAL <br /> <br />0#1 OF UNI'l'S <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />Shel ~le ~e --r\'")oP <br />SQUARE FOOTAGE UJ4 ~S I <br /> <br />BUILDING SIZE <br /> <br />HE:! GIl'!, <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 />o BUILDING <br /> <br />$ t@I&J~.<'D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />of l D\lJ2YDo~llcl <br />~yxNcU <br />~\ct5~ .l <br /> <br />PERMITS REQUESTED <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 ~OOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D 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 />COMPANY <br />STATE CERT OR REGIST #I <br />CiTY PROCESSING ft <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />· COMPANY <br />STATE CERT OR REGIST #I <br />CITY PROCESSING #I <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIST #I <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />**********~********************************~***********~********** <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 />;:;;u; ~ <br /> <br />COMPANY MILBAR OJNSTRUcrION, INC. <br />STATE CERT OR REGIST #I CCC 051562 <br />CITY PROCESSING 1t 218 <br /> <br />OTHER <br /> <br />***************************************************************** <br />