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<br />&c__~c-=---~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />DATE RECEIVED . <br />PLANS REVIEW FEE <br /> <br />) <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: [JNEW CONSTRUCTION <br />[J SIGN <br /> <br />IX! ADDITION <br /> <br />:KlALTERATION <br /> <br />[JREPAIR <br /> <br />[J INSTALL <br /> <br />[JMOVE <br /> <br />[J DEMOLISH <br /> <br />PROPOSED USE: [JSGL FAMILY DWELLING <br />f] COMMERCIAL <br /> <br />[JMULTI-FAMILY <br />[J INDUSTRIAL <br /> <br />[J# OF UNITS <br />[J SWIMMING POOL <br /> <br />[J MOBILE HOME <br />[J OTHER <br /> <br />D RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK <br /> <br />Diagnostic <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 />rn BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />rn ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[J FLORIDA POWER <br /> <br />[J W.R.E.C. <br /> <br />rn PLUMBING <br />rn MECHANICAL <br /> <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />[J GAS <br /> <br />o ROOFING <br /> <br />[J SPECIALTY <br /> <br />[J OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />[J FRAME <br /> <br />rn STEEL <br /> <br />[J OTHER <br /> <br />. , <br /> <br />fi..' / 'b 1. tvu <br />'/1 ~ fJ-.r <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br />[J NO <br /> <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY Poolp- ~onRtructjon Co.. Inc. <br />STATE CERT OR REGIST # CG C027876 <br />CITY PROCESSING,' <br /> <br />BUILDER <br /> <br />ELECTlUCI <br />/ <br />VSIGNA~- <br /> <br /> <br />********************************* * * <br /> <br /> <br />~r. /-1(... uPt)/t 17= :;2c;) <br /> <br />PLUMBER <br /> <br /> <br />COMPANY /lP~ BR1:R/~ <br />STATE CERT OR REGIST # <br />// CITY PROCE~SI #/~ oK {;)~ <br />4' ... -: -, I ) ~ <br />**************************************** * * ~**~rt*I~)***** <br /> <br />HARPER MECHANICAL CORPORATION <br />COMPANY <br />,: ~/!' l'//,.. STATE CERT OR REGIST # CFC033860 <br />.A,~' /"''.>/1ff(;.. / , r~ CITY PROCES~ING . ~g " ) <br />, · ~T, .Ut!. iJPf)I1T~1-~! <br />* * ***-~ *****.**** ****** ************ ****** ****** '* .* * ************* . <br />~//., COMPANY R MECHANICAL CORPORATION <br /> <br />./J/f,/l . "'..'. _ ..,/..4'...., . $' ):/:..'1.......... ./:: STATE CERT OR REGIST # CMC042548 <br />rf/L"/'~7/~/" /'/{tfC!};';l CITY PR~CESS # <br />EO 6;; .(..~. tJ/'.bAff 'i"~D) <br />**************************************** * ,** ************** <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br /> <br />, ",{. <br />