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<br />~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(~~iJaI-- ~ O)41~ <br />,.h/-/~~~~ //-:;2'l-'J!p g5 <br />q a-l- -1')01 ? KF-f7/~; 00 <br />,~/ <br /> <br />OWNER'S NAME FMC Market Square, Inc. <br /> <br />PHONE <br /> <br />813-780-8440 <br /> <br />OWNER'S ADDRESS 38109 Market Square, Zephyrhills, Florida 33540 <br /> <br />JOB ADDRESS 38109 Market Square, Zephyrhills, Florida 33540 <br />SEE ATTACHED EXHIBIT "A" (Legal Description) <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' See Attached Exhibit "A" (Legal Description)(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: _Single FOlily <br /> <br />--"IF <br /> <br />_' of Units _H/H <br /> <br />_C~ercial <br /> <br />____Indus t. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Interior build-out of vacant space for new Internal Medicine & Urology <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, 5800 <br /> <br />Square Feet~6' 0" 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 /> <br />$ 270,000 <br /> <br />Valuation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />Existing AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />--X-HECBANICAL <br /> <br />$ 60,000 <br /> <br />Valuation of Hechanical Installation <br /> <br />--X-PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />u <br /> <br /> <br />COMPANY Hinson Building Corporation <br />State Cert. or Regist. . CGCO 44505 <br />City License Registration .1928 <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY Sheppard Electric Company <br />State Cert. or Regist. fER 0000 375 <br />City License Registration f 1685 <br />**************************** <br /> <br />PLUMBER <br /> <br />COMPANY Joe Carlton Plumbing <br />S te Cert. or Regist. ,CFCO 26553 <br />City License Registration I 1926 <br />***************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />dL~ <br /> <br />COMPANY Britton Air, Inc. <br />State Cert. or Regist.' CMCO 41076 <br />City License Registration' 1925 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />O1:JIWl ~ COIlPANY RoDan Fire S prinkier s. 1 nc . <br />. ,L' ~~ State Cert. or Regist. . 008920000177 <br />Signature ~~ City License Registration' 363 <br />~ .... '........................................ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />