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<br />APPLICATION FOR PRRKlT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAKE <br /> <br />PacCQ,Medical.Arts Center Partnership <br /> <br />PHONE <br /> <br />783--1666 <br /> <br />OWNER' S ADDRESS <br /> <br />38014 Medical Center Ave., Zephyrhills, FL <br />"" . <br /> <br />JOB ADDRESS <br /> <br />38035 Medical Center Ave., Zephyrills, FL 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S) 6 & 7 <br /> <br />BLOCK <br /> <br />SUBDIVISION PASCO MEDICAL ARTS <br /> <br />PARCEL 1. D.' <br /> <br />TRACT #89 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -Addition JL...Alteration _Repair _Install <br /> <br />_SigB <br /> <br />---"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units ---1t/H <br /> <br />1L-eo-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Interior build-out of medical offices. <br /> <br />BUILDING SIZE: g Z . 4 X "i I') I') 0 6 0 Square Feet ,_- Height ~ story <br />(build-out size) <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-A-BUILDING <br /> <br />$ <br /> <br />l70.an.OO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECBARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l"10N: _Block X _Fraae _Steel <br /> <br />Other <br /> <br />RllllllER <br /> <br /> <br />FT. <br /> <br />IS PROJECI IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />FIRISBED FLOOR ELEVATIONS: <br /> <br />..................... <br /> <br />Signature <br /> <br />OOKPANY Precise Construction, Inc. <br />State Cert. or Regist. , CG-CA22903 <br />City License Registration' 'l~A <br />..................... <br /> <br />ANY ;1\1 !":prlrh r.()n!":t rllC"t. ion <br />State Cert. or Regist." ER0008721 <br />City License Registration" 147R <br />............................. <br /> <br />Signature <br /> <br />COKPANY Hlln!":hPrgpr Plllmhi ~ <br />tate Cert. or Regist.' dh:!;o4i!Jc:Z:R3 <br />City License Registration' II J.! 11.-'1. <br />.................................... 7 ~~ <br /> <br />PLUMBER <br /> <br />MECHANICAL <br />Signature ( <br /> <br />{'kL J ~ C1JIIPANY ""rri~..r TamhPr~ <br />_ , State Cert. or Regist.' ,("'~ 04?"i4f1 <br />~ City License Registration' 1 <br />.......................................... I ,(9:;l <br /> <br />COKPANY <br />State Cert. or Regist. . <br />'. City License Registration .. <br />....,..................................... <br /> <br />nTRRR <br /> <br />Signature <br /> <br />. : <br /> <br />APPLICAttON APPROVED Ii::, <br /> <br />PERKIT OFFICER. <br />