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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />First United Methodist Church Asst. Pastor Parsonage <br /> <br />ADDRESS <br /> <br />5409 11th Street <br /> <br />Zephvrhills <br /> <br />PHONEChurch office 782-5645 <br /> <br />OWNER <br /> <br />First United Methodist Church <br /> <br />38635 5th Avenue <br /> <br />Zephyr hills <br /> <br />JOB LOCATION <br /> <br />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.~~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ----^lteration ____Repair ____Install <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_~F of Uni ts <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 />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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF:RMITS REQUESTED <br /> <br />____BUILDING <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 />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUMBIN'G <br /> <br />.0#> <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration IF <br />****************************************** <br /> <br />BUILDER <br /> <br />Sillnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />PLUMBER Bruce Carrigan Company Bruce Card g:an Pll1mh; ng <br />., <br />/1- (: , .; k State Cert. or Regist. iF RF-001884? <br />Signat'(~~::-\/"Cf \, (;)J:J;;.-( <.: "Sf) City License Registration H .?Q <br />" ******************************* * *,', *;: ;:**1: *;: <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~F <br />City License Registration lF . <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />cyJ d~'<,~ x:J ,2a-<"~" <br />, ~ <br />'\ <br /> <br />PERMIT OFFICER. <br />