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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ZEPHYRHILLS WESLEYAN CHURCH <br /> <br />PHONE 813-782-7510 <br /> <br />OWNER'S ADDRESS <br /> <br />38924 Avenue "C" <br /> <br />P.O. Box 1209 Zephvrhills. FL 33540 <br /> <br />JOB ADDRESS <br /> <br />38924 Avenue "C" <br /> <br />LEGAL DESCRIYl'ION: LOT(S) <br />PARCEL I.D.' J L/ - .J b - ~ / <br /> <br />BLOCK <br />::t,~~ .s3 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction~Addition ____Alteration ____Repair ____Install <br />& Renovations <br />____Sign ____Move ____Deaolish <br /> <br />PROPOSED USE: ____S ingle Family <br />CHUR Clbo..ercial <br /> <br />____M/F <br /> <br />____' of Units ____M/H <br /> <br />____Indust. <br /> <br />_Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 REOUESTED <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 />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />. ~. <br /> <br />TYPE OF CONSTRUCfION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECf IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACfOR SECTION <br /> <br />BUILDER COMPANY COGUN INDUSTRIES. INC. <br />State Cert. or Regist. . CBC037901 <br />City License Registration' 410 CB C037901 <br />.........................~............. ~ <br /> <br />_C ____ COMPANY t:dk '~ <br /> <br />::::: :/' ;:~ State Cert. or Regist. t ctn:)C5 /.2 ~A-' <br />_ _" ur~ _ ~ h. City License Registration' -:;:'" <br />, *************************************** <br /> <br />PLUMBER ~ COIlPANY Vdh~~d~l~ <br />. .' //JL _ ./ State ceft. or Re st..f V ~ ~~~/57 <br />S1gnature ~t:://1. City License Registrat10n , _ -7- <br />/. **********************..** ************** - <br /> <br /> <br />KECHANI~~ <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. Ie: <br />City License Registration . <br />****************************************** <br /> <br /> <br />OTRRR <br /> <br />COMPANY ~~uA.J T;:;~~ ~<-- <br />State Cert. r Regist. f C-1$C-o '77'ltJ ( <br />ty License Regi~~lia,ti.on""~~O -. ~3 C.n~ 7<10/ <br />****************.:*****,***'*,****..:.~ .' <br />~ ~ -, .... -,... . ..' - . <br />~i-\d' ~f ...c._" -.;t . .~ . j', '~... j <br />; . ,l".....~,,:.. ",,'1V""'~~T OFFICER. <br />,~,,".'~fi:.:..... '~:~Aa..;'",,'~,:,:~ 'r;.:',">~::~~~)(...:..."!:~",; <br /> <br />APPLICATION APPROVED BY <br />