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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 38\0 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME,Jenn\ ~<; <br />JOB ADDRESS 3S-1c')c"") :Sib <br /> <br />I ~\ It ~~ n iV\IYl t'll~ <br />AVen\.J.-~ 2.e-rh~V-h-Lll) j Fe <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />'N.DN E <br /> <br />BLOCK liS or 2'1D.;.> SUBDIVISION 'I PIN" of' 2. hd.,13 <br /> <br />PARCEL ID It )l- ,;}<o~ t;Ll- to\ D ~ \ 1500- C'l-:>O 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUC'nON <br /> <br />o ADDITION <br /> <br />o AL'l'ERATI ON <br /> <br />o REPAIR 0 INSTALL <br /> <br />~ <br /> <br />UNITS 0 MOBILE HOME <br /> <br />Os I GN <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />"- <br />PROPOSED USE: DSGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMUL'rI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />3\1 \ Y\..;:}-e R--e. Roc)-{' c:;;,8 ~y C,Ov\.-\-Y'ac.... -t .1:i~ I ~....\ <br /> <br />~~~. <br /> <br />~' <br />~31~, ') <br />./ <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />.1= L ~ Ylxiuc+ ~ <br />A~lJ'Jc'\\ ~ I ) <br />r=-L\~~~.I I <br /> <br /> <br />---------> <br /> <br />PERMITS REQUESTED <br /> <br />o ELEC'fRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />o GAS <br /> <br />.l~( ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br />o OTHER 'J ~\Vle.. -b Z; \b<c .CQ <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 AREAD YES <br /> <br />o 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 # <br />CITY PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STA'fE CERT OR REGIST 11 <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br />SIGNATUR~ <br /> <br />COMPANY <br />STATE CERT OR REGIS'f 11 <br />CITY PROCESSING It <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />~ <br />~~/L <br /> <br />COMPANY MILBAR CONSTRUcrION, INC. <br />STATE CERT OR REGIST 11 CCC 051562 <br />CITY PROCESSING 11 218 <br /> <br />OTHER <br /> <br />***************************************************************** <br />