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96-5972
Zephyrhills
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1996
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96-5972
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Last modified
3/4/2009 2:50:24 PM
Creation date
7/19/2006 6:59:20 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
96-5972
Building Department - Name
FL MEDICAL CLINIC
Address
38135 MARKET SQ
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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(:5?~)iI t:.-1'}-70 . .. <br />;if 0 ?RF~~ <br /> <br />OWNER'S NAKE F!Vr' Mrlrkp-t Sqpare <br /> <br />OWNER'S ADDRESS 38135 Market Sauare <br /> <br />JOB ADDRESS 38135 Market Square Zephyrhills, FL 33540 <br />Zephyrhills Colony Company Lands PBl PG55 par. of tracts j:J & 42- <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' 02-26-21-0010-03900-0030 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign <br /> <br />--"ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____, of Units ____M/H <br /> <br />~eo..ercial <br /> <br />____Indus t. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: Finish out future expansion area <br /> <br />BUILDING SIZE: QQ' <br /> <br />X 31' . <br /> <br />9' <br /> <br />Square Feet, 2175 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 />-X-BUILDING <br /> <br />$ 24 .000.00 <br /> <br />Valuation of Total Construction <br /> <br />-x-ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />__W.R.E.C. <br /> <br />-L..KECHANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />...lL-PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ~ _Fraae ____Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Signature <br /> <br />~~A <br />\ <br /> <br />CONTRACTOR SECTION <br /> <br />COKP~eral Home Developnent Corp. <br /> <br />Cll} IJ State Cert. or Regist.' CG C05fi9S <br />K.LJf/4./~,()...ff)1 City License Registration' 2fi7 <br />****************************************** <br /> <br />BUILDER <br /> <br />PLUMBER <br /> <br /> <br />COMPANY ::Iartin Llectric <br />State Cert. or Regist. fER 00 13449 <br />City License Registration , 97 <br />****************************************** <br /> <br />IfECIIAIIlCAL ~ <br />Signature I <br /> <br />~ <br /> <br />CO~-P}_W Rustv' s Plumbinq <br />State Cert. or Regist. 'CFCO 56789 <br />~ity License Registration' 1546 <br />*********** ***************************** <br /> <br />COMPANY ,LL-I'A- O~ '-A/l~ <br /> <br />State Cert. or Regist. , <br />City License Registration * /t, RO <br />****************************************** <br /> <br />Signature <br /> <br />.QIBU <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />
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