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<br />APPLICATION FOR PEIlliIT <br />CITY' OE" ZEPllYRlITLLS <br />llUJILDIRG DEPAR'IHENT <br /> <br />. OWER'S NAME Florida Medical Clinic <br /> <br />OWNER'S ADDRESS 38135 Market Square <br /> <br />B~sunDIVISION <br /> <br />PARCEL Ln.f <br /> <br />h"URK PROPOSED:_OOewr Construction ---1>ddition _Alteration _Repair _Install <br />I <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJllOlish <br /> <br />1 Tenant Finish <br /> <br />PROPOSED USE: <br /> <br />Single Fanily <br /> <br />_KIF <br /> <br />_, of Units . <br /> <br />_M/H <br /> <br />-X-Coamaercial <br /> <br />_Indus t. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />~estaurant & nealt:h DepartJment Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />600 :t <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SlITS OF BUILDING PLANS & (I) SP:l" ENERGY FORMS. ** <br />AITACH (3) SETS OF BUILDING ~S & (1) SET ENERGY FORtIS. ** <br />**COPY OF COan-MCT REQUTRIlD. <br /> <br />PERHlTS REOUP-<)TEO <br /> <br />-L-BUILDING <br /> <br />$ <br /> <br />Valuation of Total ConstD,lction <br /> <br />-L-ELECTRICAL <br />-LJiECIlANICAL <br /> <br />AHP Service <br /> <br />Florida Pow-er Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Nechanical Installation <br /> <br />--1-PLUMBING G.\S ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _F'raJ&e _Steel <br /> <br />Other <br /> <br />FIHISHED FLOOR ELEVATIO~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />********~******************************~*. <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER Kevin T. Roberts ~)ANY General Home Development r.orp <br />. ~~ State Cert. or Regist. , CGC005695 <br />Signature ~ T ~1t.JJu.l~ity License Registration I 267 <br />* ************x************************** <br /> <br /> <br />COHPANY Martin Electric <br />State Cert. or Regist. ~ ER0013449 <br />City License Registration I 97 <br />********~x******************************* <br /> <br />PI.mIDER Ru~~ Aven.Yril <br />Signature ~~( <br /> <br /> <br />COllPANY Rusty's Plumb;n~ <br />~~te.. ~ert. or R~gist. f# CFC05678lif <br />GJ..t:)r 1.1cense 1{eg1stratioa .jt: --/..15:!::.. . <br />**********************~~~~** <br /> <br />MECHANICALIi2 ~ COUPAMyC;uL;z- ToJ~) ntH SY5.kMS <br />, (2 State Cert. 0(' Regist. i1 . . <br />Signature ~ . City License Registration 'I~. /_ ,,"--Pi <br />*~***********~*******x**~***************** <br /> <br />01'lfER COll.P~'\NY <br />State ~.d:. or Regist. 4#--. <br />Signature Ci~~icense Registration' <br />******************~~****~***************** <br /> <br />APPLICATION APPROVED BY PERlfiT OFFICER. <br />