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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />OWNER'S NAKE Florida Medical Clinic <br /> <br />PHONE J 813-780-8440 <br /> <br />OWNER t S ADDRESS <br /> <br />J8135 Market Square - Zephyrhills, Florida 33540 <br /> <br />JOB ADDRESS <br /> <br />38107 Market Sauare. Zeohvrhills. Florida 33540 <br /> <br />LEGAl. DESCRIPTION: LOT(S) <br /> <br />BWeR. <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. . <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ~ddition XXXAlteration ----lRepair ____Install <br /> <br />____Sign <br /> <br />--.Kove <br /> <br />____De.olish <br /> <br />PROPOSED USE: ____Single FUlily <br /> <br />____H/F <br /> <br />____' of Units ____H/B <br /> <br />xxx eo..ercial <br /> <br />____Indust. <br /> <br />____Swim. Pool _Other <br /> <br />____Restaurant &: Health Deparblent Approval <br />DESCRIPTION OF WORK: Construct Physician's Office in EXlsting Space <br /> <br />BUILDING SIZE: <br /> <br />39 X 135 ,5,265 <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PWT 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 />$ 225,000 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--JlECllANlCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />____PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: ____Block ____FrtHIe _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVATIONS: <br /> <br />Yr. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />72'1 <br /> <br />52 ~ D/~I <br />'10"'''' v" Hc,(t' <br /> <br />Signatur <br /> <br /> <br />COMPANY Hinson Buildinq Corooration <br />State Cert. or Regist. . CGCO 44505 <br />City License Registration' 17~~ <br />....................................... <br /> <br />oK <br /> <br />COMPANY ~/ - &-vN.y {-_UlflZl( t'~. <br />State Cert. or Regist.' {.:~()VU /rJu"7L, <br />City License Registration' /~ ./ ~ <br />...*.*****************.****.****.********. ,I V c/ <br /> <br />t/t-rJ h <br /> <br /> <br />Signature <br /> <br />~.4 <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**.............................* <br />. !J 1 <br />COMPANY "r if/tlN ~ I J7 <br />State Cert. or Regist. . C <br />City License Registration f <br />..........*....*..******.*.*.************* <br /> <br /> <br />HEGHANlCAL <br /> <br />OTRRR <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 />