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<br />c:r~ or ZIlPB.nUaI.Ls <br />B'U1:WX1fG DDAa~ <br /> <br />~'-b-()I <br />nAB IUl:Cl:I'VBD _ <br />. PIAR'S Ja:V:[p I'IlI: <br /> <br />OWNER'S NAM.I!: <br /> <br />East Pasco Medical C€nter <br /> <br />PHONE <br /> <br />JOB ADDRESS EPMC - MJUmnoaraphv. 7050 Gall Blvd _ . :"ZeDhvrhills. P19rida <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PMCEL II' # ~EE ..-91'f"~#CP <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN' P'ROM' PItOPF.Jl'T'Y 'T':&."Jl' NOTTCE\ <br /> <br />WORK PROPSED: ClNEW CONSTRUCTION <br />o SIGN <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o ADDITION <br />o MOVE <br /> <br />CiAL'l'EAATION <br />o DD'lOLISB <br /> <br />o IUi:PAIR <br /> <br />o INSTALL <br /> <br />ClMULTI-F1\MILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWI:MMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />D RES'I'AU~T & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WOlUt <br /> <br />)llt:e:ration <br /> <br />BUILDING SItE <br /> <br />SQtJAR,E !"OOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLAN! & (2) S~TS O!" BUILDING PLANS & (1) SET ENERGY FORMs. <br />ATTACH (3) SETS or BUILDING PLAN'S & (1) SET ENERl;Y FO~S. A ) <br />PROPERTY SURVEy RJl:QU~P.ED FOR ALL NEW CON3'rJ;tUCTION. I) g~;t...../ <br /> <br />JiO 1- Rt, 1-" /' <br /> <br />PERMJ:TS REQUESTED <br />, <br /> <br />CJ BUILDING $ ~UAXION O!" TOTAL CONSTRUCTION <br />GlI ELECTRICAL ~ SERVICE 0 FLORIDA l;'OWER 0 W.R.E.C. <br />[! PLUMBING <br />IjB MECHANI CAL .$ '\OO.UATION OF MECHANCIAI. INSTALLATION <br />DG,As o ROOFING o SPECIALTY' 0 OTHER <br /> <br />TYPE O!" CONSTRUCTION: 0 BLOCK <br /> <br />o nwm <br /> <br />o STEE.L <br /> <br />o OTHER <br /> <br />FINISHED ~LOOR EL~TIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BlnLDD. <br /> <br />S:IGNATURE <br /> <br />COMP}W''y: Poole Construction Co.. Iilc'(: <br />STATE CERT OR REGIST # CG"~O'7876 <br />CITY PROCESSING # 249 <br /> <br />SIGN <br /> <br />COMPANY ~Pr. V.l~cr.Tic <br />ST~E CERT OR REGIST # EC 0000486 <br />CITY PROCESSINQ # 172 <br /> <br />~*.***.*********.***.**********.**************.************* <br /> <br />l'LUNBD <br /> <br />SIGNATURE <br /> <br />COMPANY. H~r~eT ~p.ch~nieal COrDorat~~n <br />STATE CERT OR REGIST # CF -C033860 <br />CITY PROCESSING # 383 <br /> <br />la:c:BltlQ.UCAL <br /> <br />***************.**********~**********.****.*********~****.t*~***** . <br />. Harper Mecnan1ca corpo~at~on <br />COMPANy. . <br />STATE CERT OR REGIST # CM~~D42S48 <br />CITY PROCESSING # 382 <br /> <br />SIGNATURJ!: <br /> <br />*****************.*..*******.*..*************.****.*.*.*****..*** <br /> <br />OTRmt <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STA~~ CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**....****.*******.*******..*.*..*....************************.*. <br /> <br />coo/zoo ~ <br /> <br />~NI ~IKL~~3 ~dV ~~~ NOI~~nH~SNO~ ~OOd CZS9Z99Lot XVd 60:Z1 IHd 100Z/ZO/ZO <br />