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<br />AUG-12-2003 10:53 AM MILBAR CONSTRUCTION INC. <br />APPLlCATIOIf rem nlUUT <br />C.I'Q' 0.. UPH1'IUIILLs <br />aVI.LI)!.., I)UARTaIIRT <br /> <br />352 567 4454 <br /> <br />P.02 <br /> <br />Me! 3169 <br /> <br />DA'l'JI MC31Vm <br />PLAM_ DVm. .... <br /> <br />OWNER' B NAME ~ Ma:LAm <br /> <br />PHONE 813/7A3-2220 <br /> <br />JOB ADDRESS 39050 9TH AVD1UE, ZEPHYRHILLs,. FL 33542 <br /> <br />LZGAL D&SCRIPTION: LOT(S) <br />PARCBL ID' .12 26 21 002A 02300 OO~O <br /> <br />SLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPSEDI ONEW., CONSTRUCTION <br />OSIGN <br /> <br />rOBT.,." P'ROM PROPERTY 'j'AX NOTICP.l <br /> <br />o ADDITION <br />o MOVE <br /> <br />OALTERATION <br />o DEMOLt 911 <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />ROOFING <br /> <br />PROPOSED uS~~IJ~gL F~ILY DweLLING <br />o COMMERCIAL <br /> <br />[JMULTl-r-AMILt <br />o INDUS1'RIAL <br /> <br />0" OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />DBOCRIPTION Of" WORK <br /> <br />t:J RESTAURANT & HEJU.TH DEPARTMENT APPROVAL <br />SHINGLE M-ROOF <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE 2300 <br /> <br />HEIGH'l' <br /> <br />RBSIDl!:N:Tl1\L: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANs & (2) SE~S OF BUILDING PLANS & (1) SET ENERGY FoRMS. <br />ATTACH (3) SETS OF BUlLDING PLANS & ('I) !ilE'f ENERCY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />[J BUILD1NG <br /> <br />. ~g2PJ <br /> <br />PERMITS JU:QUESTED <br /> <br />tJ ELECTRICAL <br />o PLUMBING, <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORI DA POWER <br /> <br />o W.ILF..r._ <br /> <br />$ <br /> <br />o GAS <br /> <br />III ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUA'l'ION OF MI!:CIIANCIAL INSTALLATION <br />o OTHF.R <br /> <br />TYPE OF CONSTRUCTION: tJ BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />l"INlSHED FLOOR IU.EVATIONS <br /> <br />IS PH-OJEC'f IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILD" <br /> <br />COMPANy: <br />STATE CERT OR REGIST # <br />CITY l>ROC!iSSING fl" <br /> <br />SIGNATURI!: <br /> <br />...~~..............................*.*..*..*..*...**.*.."..**..... <br /> <br />&L&CTJUCIAlI <br /> <br />~IGNI\TURI!i <br /> <br />i COMPAN~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING H <br /> <br />.........*..~....."..**..**.*****...*.**...*.****.**....**t*...... <br /> <br />PL'-&l\ <br /> <br />COMPANY <br />STATE CERT OR REGIST H <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />SIGNATURIi: <br /> <br />.............**........** ...... "'........ ....................................... ............ '" A A A <br /> <br />COMPANY: <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />-CRAlnCAL <br /> <br />OTRD. <br />::lIGNATURE._ <br /> <br />..*.*.......****...~~*.........*....*..*...*....*.**..*,,*.**...** <br /> <br /> <br /> <br />Vf}lfj}J <br /> <br />COMPANY M:rLaAR cniSTRUCI'IOO, INC. <br /> <br />S1'A1.E CERT OR REGIS1' tt rrr 0';1562 <br />. CI'l'Y' PROCESSING ft 218 <br /> <br />..***....*.......*..*.......**.*,,***......****.***...************ <br />