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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTKENT <br /> <br />'c.'.'::aff:1_~-5'OE- 7f,J, L . <br />/;7/ ~ /J, ~ <br />q/O <br />./ l' t <br /> <br />OWNER'S NAKE <br /> <br />East Pasco Medical Center <br /> <br />PHONE 813-783-6189 <br /> <br />OWNER'S ADDRESS 7050 Gall Boulevard, Zephyrhills, FL <br /> <br />JOB ADDRESS <br /> <br />7050 Gall Boulevard, Zephyrhills, FL <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />T,F!q~l Dp-!';crintion Attached <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction lLJddition L-..A1teration ~epair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-'I/F <br /> <br />_, of Units _K/H <br /> <br />~ec-ercial <br /> <br />_Indust. <br /> <br />_Swilll. Pool _Other <br /> <br />-j' ..(.. <br /> <br />-Restaurant & Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Dining Room Addition <br /> <br />BUILDING SIZE: <;1=. X <\1=. ,111n Square 'Feet, Height Addition <br />1568 S~uare Feet Renovation <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. .'i""'I /). <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 1j. ~f--Y ~ (~ <br /> <br />PERMITS REOOEST~ L4 :;;I;~"" . <br /> <br />~UILDIHG $ 400,000.00 Valuati~ of Total Construction <br /> <br />~ELEC'l'RICAL <br /> <br />AItP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-X-JIECllAllICAL $ <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Fraae -K-Stee! <br /> <br />Other <br /> <br />fr 1l1pO <br />J J/ rJ- <br />~?-- <br /> <br />...A-,PLUHBING <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FIInSHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br /> <br />x <br />NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br /> <br />. COMPANY Poole Construction C~.~ In.c <br />/' State Cert. or Regist. t C' 1)1 0(' 7 X' '/0 <br />'t/ City License Registration · ... #.fft <br />*****************************************~~ <br /> <br />BUILDER <br /> <br />F.T.RCTRICIAR <br />SionAture ~.. <br /> <br />Signature <br /> <br />COMPANY APG Electric. Inc. <br />State Cert. or Regist. , <br />C~Y License Registration' I~ <br />****************** ***.*~*..**~*"~*****~' 7~. t<.;) () rp It 7E- <br />f\V-U ')\. J;\!..' V (>fJJ.J^'~ ' <br />COMPANY Harner Mechanical Corporation <br />State Cert. or Regist. . <br />City License Registration' ~~ <br />***********************~~~"**~**~**~1~1", - ~ 1 J'I' ~ <br />-1UJ.U. ~/t. \,...\L . V"VI'J'- <br />COMPANY Harper Mechanical Corporation <br />State Cert. or Regist. f <br />City License Registration . ~ 9 ~ <br />***************************l~~~r****~"**~',L <br />. -1\1..W. 7\- ~ v <br />COMPANY ~ <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICEl <br />