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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Mcr ,-3~g \ <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME~-pev S+6u-en E Cx\'S~ PHONE g\3'~~- \(,,~ <br />\ . <br />JOB ADDRESS L\C\(lB 5 ~ S\-\-eet' Ze-fh.y~lr\ ~ Hs) ~3054'? J <br />jOd-L'- ('~ l' <br />LEGAL DESCRIPTION: LOT(S) 13 BLOCK LJC1Ct I SUBDIVISION N\CXJfl::'S 11Y~+ CkicLt\i'On <br /> <br />PARCEL ID II \4 'O;(~::n:yl-C:O \ 0' 0 l DC:::)(:=J~ Oki>O (ORTATN FROM PROPERTY '['AX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRuc'nON <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIH <br />~FIN0 <br /> <br />o INSTALL <br /> <br />Os I GN <br />PROPOSED USE:~SGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUS'l'RIAL <br /> <br />011 OF UNITS <br />o SWIMMING POOIJ <br /> <br />\6 I J( ,331- L\-lj <br />.681S- <br />o MOBILE HOME <br /> <br />o OTHER <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />6 \1\(1~RrL')(J ~ \5' x 3'6l -4" ,Q\tLL <br />51, ~ O' /f)S.d^.\ <br />SQUARE FOOTAGE .. ) l 71uiJ:GIl'l' <br /> <br />DESCRIPTION OF WORK <br /> <br />RES I DEN~rrAL : <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 />'Pi. BUILDING <br />o ELEC'!'RICAL <br /> <br />PERMITS REQUESTED <br /> <br />$ QS'7 fiO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <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 />o GAS R ROOFING 0 SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />VALUATION OF MECliANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJEC'!, IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CI'l'Y PROCESSING It <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />· COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING /I <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STATE CERT OR REGIS'!' 11 <br />CITY PROCESSING ff <br /> <br />SIGNATURE <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST 11 <br />CITY PROCESSING /I <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br />:21/z#~ <br /> <br />COMPANY MILBAR CONSTRUCI'ION, INC. <br />STA'l'E CERT OR REGIST II CCC 051562 <br />CITY PROCESSING II 218 <br /> <br />OTHER <br /> <br />**************************************************************A** <br />