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<br />I I <br /> <br />APPLICATION FOR PERMIT <br />CITY 01' ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Mer 3113 <br /> <br />DATE RECEIVED <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME ChurLh of- ..\.t1-t:- \ _\\.1 \f13 WOcd of 'Pl16~O PHONE '6131/~ 45Cc~ <br />JOB ADDRESS t:s~ ID-tb ~J"+ I~ ph~r-hL1\~) Fe 3 ?f)4~ <br />LEGAL DESCRIPTION: LOT (S) It \.~ it \ ~ BLOCK i'K. \ SUBDIVISION e.., 'ry ct2e. Pht1(h'l l '6 <br />J , <br />PARCEL ID II l\-~{" - t\.-)\ ~ 66\ D - \ ~ \00 - 10 \ l n (OBTArN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL <br /> Os I GN o MOVE 0 DEMOLISH , QOOFI~ <br />PROPOSED USE: OSGL FAMILY DWELLING OMUL'fI-FAMILY 011 OF UNITS o MOBILE HOME <br /> <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT <br />5h''rfble <br /> <br />DINGUS'i'RIAL DSWIMMING POOL ~~ <br />& HEALTH DEPARTMENT APPROVAL ~ c€t\~ <br />~ e- Reel €a-~+ ~ d -e Dt th LUc1 ~J LA ()0Ly <br />SQUARE FOOTAGE 02~cx) <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <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 REQUESTED <br /> <br />F lDY\do...-~~ Ckpp. <br />Qcxi.e : <br />FL.-Cot 3 . ~ <br /> <br />o BUILDING <br /> <br />$ t-\~, '1& <br />} <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br /> <br />o MECHANICAL $ <br />o GAS ~OFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />..J <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o S'fEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />CI'l'Y PROCESSING II <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />· COMPANY <br />STATE CERT OR REGIST ff <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />STA'fE CERT OR REGIST 11 <br />CITY PROCESSING 11 <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />* ** * * *** * **.* * ** ** **** * * * ** ** ** * ** * ** * * ** ** * * **** * * ** ** * * * * * ** * * * * * <br /> <br />COMPANY <br />STATE CERT OR REGIS'f It <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />SIGNATURE <br /> <br /> <br />COMPANY MILBAR CONSTRUcrION, INC. <br />STATE CERT OR REGIST 1/ CCC 051562 <br />CITY PROCESSING # 218 <br /> <br />OTHER <br /> <br />***************************************************************** <br />! <br />