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<br />, , <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />MCI 6tl:~\4 <br /> <br />DATE RECEIVED <br />PLANS REVIEH' FEE <br /> <br />JOB ADDRESS <br /> <br /> <br />PHONE 6\~1~-Z- 3461 <br /> <br />miNER'S NAM <br /> <br />LEGAL DESCR <br /> <br />SUBDIVISION Zeph(f~ ~.eL~h"t,~ <br /> <br />PARCEL ID n <br /> <br /> <br />WORK PROPSE <br /> <br />ONEW CONSTRUCTION <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN 0 MOVE 0 DEMOLISH (RooF1N0 <br />PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY On OF UNITS 0 MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIP'l'ION OF WORK Sh I ng \-e..- tSe..-- Rom <br /> <br />BUILDING SI E <br /> <br />SQUARE FOOTAGE <br /> <br />18 <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 />PERMITS REQUESTED <br /> <br />D BUILDING <br /> <br />$ a l4o.ou <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />D W.H.E.C. <br /> <br />D PLUMBING <br />D MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br /> <br />o SPECIALTY <br /> <br />o OTHEH <br /> <br />TYPE <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />IS PHOJECT IN FLOOD ZONE AHEAD YES <br /> <br />D NO <br /> <br />BUILDER <br /> <br />SIGNATUHE <br /> <br />COMPANY <br />STATE CERT OH REGIST n <br />CI'l'Y PROCESSING jf <br /> <br />****************************************************************** <br /> <br />SIGNATURE <br /> <br />~COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING ff <br /> <br />ELECTRICIAN <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STA'fE CERT OR REGIST # <br />CITY PROCESSING n <br /> <br />**********~******************************************************* <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST It <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />ROOFING <br /> <br />COMPANY MILBAR CONSTRUcrION, INC. <br />STATE CERT OR REGIST # CCC 051562 <br />CITY PROCESSING # 218 <br /> <br />SIGNATURE <br /> <br /> <br />***************************************************************** <br />