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<br />:!,.:~,~~,~.~li!~~~.~1t_~~~ ~- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />First Baptist Church <br />38300 Fifth AvpnllP <br /> <br />PHONE <br /> <br />'782-5574 <br /> <br />APPLTCM:T <br /> <br />OW:1ER <br /> <br />Trustee Corporation of Firc;.t R;lptid rnllrC't' <br /> <br />JeB LOCATlO~; 38300 Fi fth AvpnllP <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) 1 - 12 <br /> <br />BLOCK 1~~ SUBDIVISION Zephyrhills <br /> <br />1'1\1\CEL I. D. " <br /> <br />WORK PROPOSEIl:_New Construction _Addition _Alteration ~Repair _Install <br /> <br />0010-16500-0010 30ZH 04 <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED ;:::E: _Single Family <br /> <br />_M/F <br /> <br />_4~ of Units <br /> <br />,._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUIT~DnG SHE: _ <br /> <br />RESIDENTTAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />Cml:'1ERC1i\L: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. -;\'* <br />HeOPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />:FERMTTS REOUESTED <br /> <br />__B1JILDl:iG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />__ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />__"IECllA:n CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />__Fl,U:!BI~G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.'" . <br /> <br />TYPE OF cO~STRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISllRn EOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />/ , <br />///1 P <br />/ <'? - ... --1l. . <br />~f <br /> <br />r;ONTRACTOR SECTION . r: <br />Company oj 0 t{...../' i, ~ l--<-t . 'I 4 C ~ I'- r .r ~ <br />. ~ Lx.L;' State Cert, or Regist, 1/ RB 37'5"'/ <br />-".c City License Registration 4~ , ~-:s- <br />****************************************** <br /> <br />13 PI U1fE <br /> <br />.s..izIlQ.tJ.U: (> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F:LECTRICli\N <br /> <br />Sir,:natu1'C <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PJx~mE:L <br /> <br />-- <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration j~ <br />****************************************** <br /> <br />~lE CIL\..:;'~C,\ T <br /> <br />Signature <br /> <br />Signatur(~ <br /> <br /> <br />QTHER <br /> <br />4r <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />