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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~ C(~'~1Jct <br />~1b <br /> <br /> <br />813-780-8440 <br /> <br />, . <br /> <br />'. <br /> <br />OWNER'S NAKE FMC Market Square, Inc. <br /> <br />OWNER'S ADDRESS 38109 Market Square, Zephyrhills, Florida 33540 <br /> <br />~~~l) <br />02..;1./-) <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 1.D.' See Attached Exhibit "A" (Legal Description)(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition -1L-Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Fallily <br /> <br />____K/F <br /> <br />____, of Units _K/H <br /> <br />____<=<-ercial <br /> <br />_Indust. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Interior build-out of vacant space for new Eye Clinic <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, 5838 <br /> <br />Square Feet, 16' 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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />---!-BUILDING <br /> <br />$ 280, 000. 00 <br /> <br />Valuation of Total Construction <br /> <br />---!-ELECTRlCAL <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />400 <br /> <br />AMP Service <br /> <br />---!-KECHAIUCAL <br /> <br />$ 50.000 <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fralle ____Steel <br /> <br />Other <br /> <br />", <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />PLUMBER <br /> <br /> <br />COMPANY Hinson Building Corporation <br />State Cert. or Regist. , CGCO 44505 <br />City License Registration' 1928 <br />********************************* <br /> <br />ELECTRICIAN <br /> <br />COMPANY Design Electric Co. <br />State Cert. or Regist. fER 0014224 <br />City License Registration' 1947 <br />****************************************** <br /> <br />Signature <br /> <br />COMPANY Joe Carlton Plumbing <br />tate Cert. or Regist. . CFCO 26553 <br />City License Registration f 1926 <br />**************************** <br /> <br />KEWANlGAL. A7 /J 1 <br />Signature ~ ~ <br /> <br />COMPANY Britton Air. Inc. <br />State Cert. or Regist. # CMCO 41076 <br />City License Registration' 1925 <br />****************************************** <br /> <br />()TIIRR ~ v~ COItPANY RoDan Fire S~rinklers, Inc. <br />" State Cert. or Regist. f 008920000177 <br />Signature ~~ City License Registration # 363 <br />** ********:!l'***************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />.-t, . <br />,~~.,;;' ~; <br /> <br />PERMIT OFFICER. <br /> <br />~ .' <br />, .~. <br /> <br />"i <br />