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<br />,. <br /> <br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,~~ <br />'" <br /> <br />"- <br /> <br />APPLICANT Sun Medical Corporation <br /> <br />ADDRESS <br /> <br />6719 Gall Boulevard: Zephvrhills. FL 33541 <br /> <br />PHONE (813) 782-3488 <br /> <br />OWNER <br /> <br />Sun Medical Corporation <br /> <br />JOB LOCATION 6719 Gall Blvd., Suites 102 & 103 <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 ____Alteration ____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 />____4F 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 />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 FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,'d, <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <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 />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECT~QNA ~ <br />Company_~ .kC/)A-v'Jd' ~ <br />State Cert. or Regist. 4F <br />City License Registration iF ~?3 / <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN Company F/~c. 1'J14/" <br />oJ -n ~ / State Cert. or Regist. 4F -, OCO <br />Signatur '1/.-/ltr ...(,.;~a City License Registration iF 7;)., <br />** * ** * * ** * ** ** ** * * **** *** * * ** ** * -1:* -I: ** * * * * * . <br /> <br />Company "K'tt II. )?t;- ~"}U,q-,v Jd- <br />-.7 j}. () /J,/ State Cert. or Regist. ~,! C C.. 01 <br />Signature :j,....t.A:.t...L ;;t~ City License Registration jf /5-"1 <br />****************************************** <br /> <br /> <br />PLl;MBER <br /> <br /> <br />Signature <br /> <br /> <br />Company II/lA., [ c I'V ;j +s <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />T 1-/ LJ.uC . <br />t}A c ~'7,/ &/5 ~ .s- <br />/I,~ <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY ~~~.~.~;:;~..*..*..*....... PERMIT OFFICER. <br />