Laserfiche WebLink
<br />~ <br /> <br />APPLICATION FOR PEWlIT <br />CITY OP ZEPHYRIlILLS <br />BUILDING DEPARnlENT <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, FL 33541 <br /> <br />JOB ADDRESS <br /> <br />Same As Above <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />See Attached! <br /> <br />BLOCK, <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,/1o ~TAIN ~O~l P~ERTY TAX NOTICE) <br />?3'~o ~,J:' /lAP/Qo"" 11P7.:l/ s ~. ';1>77. <br />WORK PROPOSED:~New Construction ~Addition ~Alterlltion _Repair _Install <br /> <br /> _Sign _~jove _Demolish <br />PROPOSED USE: _Single Family _Hip _I~ of Uni ts _H/H <br /> X Commercial Indust, Swim, Pool Other <br /> -- - ./, <br /> - - 'I <br /> <br />_Restaurant <br /> <br />DESCRIPTION OF WORK:~;tD <br /> <br />& Health Department Approval <br />~~Y'A~,,/ ~ AlJ:>L?//?'o/ <br />, <br /> <br />BUILDING SIZE: <br /> <br />~. <br /> <br />Square' Fee t , <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 NEIl CONSTRUCTION, <br /> <br />12 E Rtn T S J1 {ill U t:..ITfJl <br /> <br />~BUILDING <br />~ELEc:rRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />~I1ECHMaCAL <br /> <br />Florida Power Corp, <br /> <br />_W,R,E,C, <br /> <br />$ <br /> <br />Valuation of l-leclwnical Installation <br /> <br />~PLUMBING <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRU~rl0N: ____Block <br /> <br />_Frame __St:eel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />IT, <br /> <br />IS PHOJEc,-r IN FLOOD ZONE AREA? <br /> <br />****************.***ft***Aft~*************** <br /> <br />YES NO <br /> <br />.lHJILD 1m <br /> <br /> <br />CON T H!\.Q:...tQIL;;l~CLUlli <br /> <br />Signature <br /> <br />COl'lPANY Poole ConstJ~uction Co., I;~c. <br /> <br />State Cert. or Regist, 0 CG C027876 <br />City License Registration fJ 249 <br />****************************************** <br /> <br />.ELEc:rRICIAli, <br /> <br />S i~..na ture <br /> <br />COMPANY_ APC Eleotric, Inc. <br />State Cert:. or Regist. # EC 0000486 <br />City License Hegistration iF /7Jl. <br />****************************************** <br /> <br />rLtJMBf;E /kZ COMPANY__~er ;'lcchanical <br /> <br />I'J...UA~// ~'-?14 ..DIb State Cert. or Hegist, if CF <br />Signature. -VW-R/P?-C >r(;r/'l City License Rcgistwtion II <br />****************************************** <br /> <br />COr:)OrCl tion <br /> <br />CJ33860 <br /> <br />l1E.QUL\NI C^~./ COftPANY_ i !arpey Heche n( c 21 CO"i'OC at ion <br />. >~ -- L Stn(:e CerL. or Regist. 11 G1 C0!;2S48 <br />Signatur ' c: U~ City License Registration II ~'L <br />*************************.*.~************~ <br /> <br />.78~ <br /> <br />QILllil\ <br /> <br />Signature <br /> <br />CONl'ANY <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />\PPLICATION APPROVED BY <br /> <br />PEm-llT OFFICER, <br />