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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />Matthews Orthopedic Clinic <br /> <br />PHONE % 407-425-8454 <br />W. Colonial Dr., Orlando, FL 32804 <br /> <br />OWNER'S ADDRESS C/O Commons Medical, 1325 <br /> <br />.2 8-/0 j <br />JOB ADDRESS Market Sq. Shopping Ctr, 7008 Jason Drive, Ste <br /> <br />Tract 40 - Section 2, Township 26 South, <br />LEGAL DESCRIPTION: LOT(S) BWCK SUBDIVISION <br /> <br />1, Zephyrhills, FL <br />Range 21 East <br /> <br />PARCEL 1.D.' Former Walgreen I s Drug Store at (OBTAIN FROM PROPERTY TAX NOTICE) <br />Market Square <br />WORK PROPOSED:_New Construction ----Addition XX Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />~eo..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: LEASEHOLD IMPROVEMENTS FOR PHYSICIAN OFFICE <br />Renovation area <br />BUILDING SIZE: X . 3,080 Square Feet. 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 />~ELECTRIGAL <br /> <br />$ 250,000 <br /> <br />Valuation of Total Construction <br /> <br />400 <br /> <br />AKP Service <br /> <br />XX Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />, <br />\. <br /> <br />1L-MECHANIGAL <br /> <br />$ 30,000 <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Fralle X_Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: n/a FT. <br /> <br />YES <br /> <br />XX <br />- <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br /> <br />COMPANY Commons/Medibilt <br />State Cert. or Regist. , CGC-021914 <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY Aneco, Inc. <br />Ii )~ - State Cert. or Regist.' EC 0000468 <br />~ n City License Registration I .:1..9 $I <br />. <br />****************************************** <br /> <br />S ionA ture ,8 ~ I.L c...,p <br /> <br />PLUMBER <br /> <br /> <br />COMPANY McNatt Plumbinq <br />{4/R~ Stat.e Cert:. or Regist. 'I-CFI7~5185 <br />City License Registration t <br />* * ************************************** I <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY M. S. I. <br />State Cert. or Regist. tt RM <br />City License Registration , <br />****************************************** <br /> <br />50/9958 <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />