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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED 10 - /7'- 0 () <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME East Pasco Medical Center, Inc. PHONE (813) 788-2411 <br />JOB ADDRESS 7050 Gall Boulevard, Zephyrhills, Florida 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />See Attached <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />Os I GN <br /> <br />1ZI ADDITION <br /> <br />:KJALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />iD COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Diagnostic Shell Addition <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <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 REQUESTED <br /> <br />OJ BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />DJ ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />rn PLUMBING <br />DJ MECHANICAL $ <br /> <br />o GAS <br /> <br />IitI ROOFING <br /> <br />o SPECIALTY <br /> <br />..... <br />VALUATION OF MECHANCIAL INSTALLATION g /.,j.)gJ.~ <br /> <br />o OTHER ( 0 I( } <br />1/ ., <br /> <br />o FRAME 0 STEEL 0 OTHER (!fr4 <br /> <br />IS PROJECT <br /> <br />o NO <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SIGNATURE <br /> <br />~~ <br /> <br />COMPANY Pnnlp- C-nn!';trllctinn Co.. Inc. <br />STATE CERT OR REGIST # C-G C027876 <br />CITY PROCESSING, <br /> <br />BUILDER <br /> <br />COMPANY /!f?~ DROVe.- <br />STATE CERT OR REGIST # <br />, CITY PROCE~SI #/~;z. <br />, 'JrF-f).# !'Jo ") <br />******************~************************* * * ~******r**)***** <br /> <br />~ HARPER MECHANICAL CORPORATION <br />PLUMBER , COMPANY <br />. ~dl. .~. .,A/J STATE CERT OR REGI~T # CFC033860 <br />. / SIGNATURE ~# . L.L.if!c~ CITY PROCES~ING ~ .. <br />, . : . ~T. 'ut!. iJPD/fT~'t ~ ) <br />********************************************* * * * ************* <br />MECHANICAL ~ ' COMPANY R R MECHANICAL CORPORATION <br /> <br />" /' ......., d.. ~- ,U4'/"Jh STATE CERT OR REGIST # CMC042548 <br />./ SIGNATURE ---c~d~~ /~/tfc:Y.a:L CITY PR~CESS # ~ <br />EO 6T. A...~. ()I',/J;/lff i:2V <br />**************************************** * , ** ************** <br /> <br />OTHER COMPANY <br />STATE CERT OR REGIST # <br />SIGNATURE CITY PROCESSING # <br /> <br /> <br />********************************* * * <br /> <br /> <br />:-;20 <br /> <br />****************** ********************************************** <br /> <br />, .".i,. <br />