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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />East Pasco Medical Center <br /> <br />PHONE <br /> <br />(813) 788-0411 <br /> <br />OWNER'S ADDRESS <br /> <br />7050 Gall Boulevard <br /> <br />Zephyrhills, Florida 33541 <br /> <br />JOB ADDRESS <br /> <br />38058 Arbor Ridge Drive <br /> <br />LEGAL DESCRIPTION: LOT(S)See Attached <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />---1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1f/F <br /> <br />_' of Units _M/H <br /> <br />2-ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: Interior Renovation <br /> <br />Accounting Building for East Pasco Medical Center <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />-2-BUILDING <br />.2-ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />2..JmCHARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.2-PLUKBDlG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~loclt _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />.mt.DBR ~ COHPAIlY Poole Construction <br />~ State Cert. or Regist. t CG <br />Signature ~ City License Registration . <br />****************************************** <br /> <br />Company, Inc. <br /> <br />C027876 <br />249 <br /> <br />~ <br /> <br />F.T.RC'l'RICIAH <br /> <br />COMPANY APG Electric, Inc. <br /> <br />State Cert. or Regist. f <br />City License Registration # J 7 d- <br />****************************************** <br /> <br />.....--- <br /> <br />51anAt.ure <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY Harper Mechanical Corporation <br />State Cert. or Regist. . <br />City License Registration f ,3 ?-~':1 <br />****************************************** <br /> <br />..- <br /> <br />HEGBAHICAL <br /> <br />Signature <br /> <br />COMPANY Harper Mechanical Corporation <br />State Cert. or Regist. f <br />City License Registration' --.5" cr--&.- <br />****************************************** <br /> <br />L--- <br /> <br />OTHER COMPANY <br />State 'Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER; <br />