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<br />c:rn 01' ~LLS <br />JroIUl:tHG DUM'.tNI:RT <br /> <br />DAB JU:CJaVJ:D <br />l'LMU ~ ru: <br /> <br />OWlaR'S N.lUa: <br /> <br />Ea.t Pasco Medical Center <br /> <br />l'RON! <br /> <br />L!:GAL DESClUPTION: LOT (9) <br /> <br />JOB ADDRESS EPMC: - MalIInoaraDhv. 7050 Gall Blvd.. .'ZeDhvrhills. Fl(Wida <br /> <br />BLOcK <br /> <br />P~CBL ID # <br />WORK PROPSED: ClNEW CONSTRUCTION <br />OSICN <br /> <br />SUBDIVISION <br /> <br />InRTll TW 1I'Qm.f DDnpP!1t'l'V .,.~y N'OTT~ \ <br /> <br />o ADDITION <br />IJMOVE <br /> <br />U1ALTEAATION <br />CJ DEMOLISH <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />PROPOSED USEI OSGL ~LY DWELLING <br />o COMMERCIAL <br /> <br />DMllLTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# or UNITS <br />o SWIMMINIW POOL <br /> <br />o MOBILE HOME <br />o O'rHER <br /> <br />CJ RE.'5TAURANT , HEALTH DEPARTl<<ENT Al'PRCMU. <br /> <br />DESCRIPTION 01' WOIUI; <br /> <br />Al~~"'iltion <br /> <br />Bun.nING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />KEIGIlT <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANs & (2) SETS 01' BUILDING l'L1.NS , (1) SET ENERGY FORMS. <br />~CIAL: ATTACH (3) SETS OF BUILDING PIJl.N'S , (1) SET ENERGY FO~. <br />PROPERTY SURVEY REQUIRED FOR ALL New CONSTRUCTION. <br /> <br />lJ !It1ILDlNG <br />CI EL:ecTRICAL <br />l! l'LUMBING <br />m MECHANICAL <br /> <br />PERMI~S REQUES~ED <br /> <br />$ <br /> <br />VALUAXION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.c. <br /> <br />$ <br /> <br />D~ <br /> <br />CJ ROOFING <br /> <br />o SPECIALTY <br /> <br />\I1U.tTATION or H!:~Cl:AL INSTALLlI.TION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o S'l'tEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR EL~lONS <br /> <br />IS PROJECT IN nOOD ZONE AREAC] YES 0 NO <br /> <br /> <br />lttrUiDD <br /> <br />S I GNA.'1't11U: <br /> <br />Charles O. Poole <br />*.........***...*....*..........***....***......**................ <br /> <br />COMPAJo:. P('Jt)l~ ynnRtruction Co.. Iiu:c: <br />STA'l'E CI!lRT OR REGIllT It CI:_m2'7A'76 <br />CITY l'ROCESStNG # 249 <br /> <br />EI.l:C'n\ICUN <br />SIGNATURE: <br /> <br />:PLUId8D <br /> <br /> <br />COMPANY ~~~ ~lA~~~'~ <br />S~ATt CERT OR R&GIST # EC' 0000486 <br />CITY 1>ROCESSING # 172 <br /> <br />* **.******....****~*..*..*..***....****..*..._***...*.*...... <br /> <br />CQMpANi- H.r~~ MAchAn~CAl Corooration <br />STA'l'E CERT OR RECIST * CP -C033B60 <br />CITY PROCE!Smt; # 383 <br /> <br />Sl:liNM't1RE <br /> <br />1aICJWa,QU, <br /> <br />......~...**...........*~..*.....*.........w...t.*~*.l******* . <br />COMPANy. Harper MeCn&n1ca corpcest1cn <br />-4~ STATE CISR'Z' OR ~GIS'l' It CM-c042548 <br />/r {P, F-f CITY PROCESSING II 382 <br /> <br />SI~ <br /> <br />....**..............................**.w...............****..**** <br /> <br />O'J:'II:D <br />SIGNATURE <br /> <br />COMl'JINY <br />STATE CDT OR RECiIST # <br />CITY PROCESSINCi . <br /> <br />...**.........**.*.**..**.*~..**.~.......*.****.*........*****.... <br /> <br />COO/<:OO ~ <br /> <br />'VJINVHJ3H HadHYH ~~~ NOILJilHLSNOJ aIOOd C<:98<:98LOt YVd LO:<:T IHd 100<:/<:0/<:0 <br />