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<br />,- <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />MilBar Construction, Inc. <br /> <br />OWNER <br /> <br />1719 Hwy 301 North, Dade City, FL 33525 <br />Reginald Simmons, M.D. <br /> <br />PHONE 904/567-6047 <br /> <br />ADDRESS <br /> <br />JOB LOCATION 38193 Medical Center Avenue, Z-hills LOT SIZE_____X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />.____~1/ H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <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 FORl'lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REQUESTED <br /> <br />~UILDING <br /> <br />$ Z~':J7. 34- <br />, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_____H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBHfG <br /> <br />.... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration ~fr <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTr.TAN <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />Si!!nature <br /> <br />Signature <br /> <br />Company <br />State Cert. or.Regist. 0 <br />City License Registration iF <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />~ <br />..-. ~~y~ <br /> <br />Company MilBar Construction, Inc. <br />State Cert. or Regis t. i; RC 0055215 <br />City License Registration if 37 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY *'L:J~~~***.**'~.*.*****'*'* PEllilIT OFFICER. <br />