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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <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 I. D.' <br /> <br />T.pqrl1 Descriotion Attached <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction 1L-.J\ddition 1L-..Al.teration ~epair _Insta1l <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units ---1t/H <br /> <br />-:l.-~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~l' ...(_.- <br /> <br />~estaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Dining Room Addition <br /> <br />BUILDING SIZE: t; h <br /> <br />X "iF. ,111F. Square 'Feet, Height Addition <br />1568 Sguare Feet Renovation <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ 400 ,000 .00 <br /> <br />Valuation of Total Construction <br /> <br />..lL-ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUMBING <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae ..lL-Steel <br /> <br />Other <br /> <br />FIBISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />x <br />NO <br /> <br />....................................****** <br /> <br />CONTRACTOR SECTION <br /> <br />RUnJlER <br /> <br />Signature <br /> <br />COMPANY Poole Construction Co.. In.c <br />State Cert. or Regist. . <br />City License Registration . <br />********.*******************.************. <br /> <br />RT.RCTRICIAN <br /> <br />SiQOAture <br /> <br />COMPANY APG Electric, Inc. <br />State Cert. or Regist. . <br />City License Registration . <br />***.....*.*******.*****.*.*....**********. <br /> <br />PLUMBER <br /> <br />~4?V~ <br /> <br />COMPANY Ha~oer Mechanical Corporation <br />State Cert. or Regist. . <br />City License Registration f <br />*.*.**.**.*.*******.********..************ <br /> <br />IlECBANlCAL~ COMPANY Harper Mechanical Corporation <br />,/,,// t;W/l ~A State Cert. or Regist. f <br />Signature. ~I(. C /'l/~ft. City License Registration, <br />I **.*.**...**.**.**.*.**..**..*..********** <br /> <br />Signature <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />...*.*.*.*...*****.******..**.*.********** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />