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<br />APPLICATION FOR P1!:1lMl'l' <br />CI'l'X 01" ~Hr.RRILLS <br />BUII.DJ:NG DEP~ <br /> <br />DAD RECEIVED <br />. J?LARs Ja:YDI:Ir I1IZ <br /> <br />OWNER'S NAME East Pasco Medical Center, Inc. PHONE (813) 788-2411 <br />JOB ADDRESS 7050 Gall Boulevara, Zephyrhills, Florida 33541 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />:aLOCK <br /> <br />SU:aDIVISION <br /> <br />PARCEL 10 # <br /> <br />See Attached <br /> <br />roeTATN ~ROM PRO~F.RTY TAX NOAICF.) <br /> <br />WORK PROPSED: DNEW CONSTRUCTION <br />OSIGN <br />E'ROPOS~D USE: OSGL FAMILY DWELLING <br />E)'COMMERCm <br /> <br />[ J ADDITION <br /> <br />Xl ALTE RAT ION <br />o D~OLI5H <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE: <br /> <br />OMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMI~G POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o RESTAURANT Ii HEA.LTH DEI'AATMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Geriatric Psychiatric Renovat~on <br /> <br />BUILDING SIZE: <br /> <br />SQUARE FOO'I'AGE: <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (4Zl PLOT P;LANS & (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 J\.LL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />'13 BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I:iI ELECTRICAL <br />[3 I:'LUMBING <br />C3 MECHANICAL <br /> <br />AMP SERVICE <br /> <br />D FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />~ <br /> <br />DGAS <br /> <br />Ea ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MECHJ\.NCI.AL INST.ALLA.TION <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />:1 ! STEEL <br /> <br />o OTHER <br /> <br />~INISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE MEAD YES <br /> <br />D NO <br /> <br /> <br />JI'UZWEI\ <br /> <br />SIGNATU~ <br /> <br />COMPANY ~oolp Con~TTUc~ion Coo, Tnc <br />STATE CERT OR REGIST # CG ;cn17B7~ <br />ClTY PROCESSINc; # . <br /> <br />ELBC'rlUC <br /> <br /> <br />************..**.***..*+...*.**.*****.************** <br /> <br />COMPANY APG E~ectric, Inc. <br />STATE CEflT OR REGIST # EC.OOOb'-\~~ <br />CITY PROCESSING # <br /> <br />****.****.****.****************.********************************** <br /> <br />COMPANY <br />STATE CEflT OR REG!ST # <br />CITY PROCESSING * ' <br /> <br />Harper Mechanical CorpOration <br /> <br />I'I.OMBER. <br /> <br />SIGNATURE <br /> <br />SIGNATURE <br /> <br />**************.**************~*********.**********************~*.. <br />. COMPANY- Harper Mechanical Corporation <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />Hli:CBARI: CAI. <br /> <br />***************************************************************** <br /> <br />OTllEtl <br /> <br />COMP AN'! <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />*************************.*************************************** <br /> <br />ZOOIZOO ~ <br /> <br />NOI~JnaLSNOJ ~OOd CZS9Z99LOt XVd tS:CT NOH TOOZI9T/LO <br />