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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Re.ce/"EO <br /> <br />OWNER'S NAME <br /> <br />East Pasco Medical Center <br /> <br />APG ELECTRIC <br />PHONE 813-783-6189 ' INC. <br /> <br />OWNER'S ADDRESS 7050 Gall Boulevard, Zephyrhills, FL <br /> <br />JOB ADDRESS <br /> <br />7050 Gall Boulevard, Zephyrhills, FL <br /> <br />LEGAL DESCRIP'l'ION~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />T.Pljlnl De!':crintion Attached <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction 1L-.Addition 1L-JUteration ~epair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1t/F <br /> <br />_' of Units ---1I/B <br /> <br />~eo..ercial <br /> <br />_Indust. <br /> <br />_Swilll. Pool _Other <br /> <br />~i' '.(r <br /> <br />.-Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Dining Room Addition <br /> <br />BUILDING SIZE: "I=. <br /> <br />, ~l ~fi Square {Feet, Height Addition <br />1568 S~uare Feet Renovation <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 />X"ih <br /> <br />RESIDEHTIAL : <br />COMMERCIAL : <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ 400 ,000.00 <br /> <br />Valuati~ of Total Construction' <br /> <br />..1L......ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />...JL.)tECllAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-lL-PLUKBING <br /> <br />GAS' <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnOR: _Block _Fraae ~Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVAnORS: <br /> <br />YES <br /> <br />x <br />NO <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />CONTRAC'lOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY Poole Construction Co., In.c <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />". <br /> <br />::~~ /~.. \ COMPANY APG Electric, Inc. <br />'~ . . \. ~ State Cert. or Regist. f E<:OODO'+ B~ <br />__ . 1. City License Registration . <br />****************************************** <br />L---" .- <br /> <br />PLUMBER COMPANY Harner Mechanical Corporation <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY Harper Mechanical Corporation <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />OTR'RR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />