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<br />CITY OF ZEPHYRHILLS PERMI t~ APPLICATION / (!d!-M ! ~ -:2-:) <br />BUILDING DBPARTMENT 5335 8th STREET mllPHYRHILLS, FL 335~ _ <br />Phoue:B13-7BO-0020 Fax:B13-7BO-0021 <br />DATE RECEIVED -'1- ~,?1:.i!? .2.. <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME East Pasco Medical Center <br />JOB SITE ADDRESS 38011 Arbor Ridge Dr., <br /> <br />PHONE CONTACT 813-783-6189 <br />Zephxr~ills 33540 <br /> <br />LEGAL DESCRIPTION: LOT(S} <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 10 # 35 25 21 0060 00000 0010 <br /> <br />(OBTAIN FROM PROPERTY TAJ: NOTICE) <br /> <br />WORK PRQPSED: [)NEW CONSTRUCTION <br /> <br />[) ADDITION <br /> <br />[) AL'J~]:!:RATION <br /> <br />o REPAIR <br /> <br />[) INSTALL <br /> <br />lKISIGN <br /> <br />o MOVE <br /> <br />o DHlil/OLISH <br /> <br />PROPOSED USE: [)SGL FAMILY DWELLING <br /> <br />o COMMERCIAL <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />[) # OF UNITS <br /> <br />o fJlOBILE HOME <br />~ OTHER <br /> <br />o SWIMMING POOL <br /> <br />CJ RESTAURANT & HEALTH DEPARTMI:!:NT APPROVAL <br />DESCRIPTION OF WORK Installing one pole sign <br /> <br />BUILDING SIZE <br /> <br />5' X 10' <br /> <br />SQUARE FOOTAGE <br /> <br />50 sq. ft <br /> <br />HEIGHT <br /> <br />13' <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (:2) SETS OF BUILIl:[NG PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) mi:T ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CON~I~rRUCTION. <br /> <br />PERMITS REOUES'J']I!:D <br /> <br />f9 BU~LDING <br />o ELECTRICAL <br /> <br />$ 3,200.00 <br /> <br />VALUATION OF TOTAl, CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o w. <br /> <br /> <br />o PLUMBING <br /> <br />o MECHANICAL <br /> <br />$ <br /> <br />VALUATION OF MECHJlli[CIAL INSTALLATION <br /> <br />[) GAS <br /> <br />o ROOFING <br /> <br />[) SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: [J BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES 0 NO <br /> <br /> <br />BUl:LDBR. <br /> <br />'.' ,t;"- j' .... /' . <br />SIGNATUREI~0'/'/I' ~ <br />;' <br /> <br />COMPANY_Lt..'IY7lt7 Ct.j('i.$ Ii (~J ;J /"! C . <br />STATE CHRT OR REGIST #r: ~("~(7d...Oh s-;}... <br />CITY PROCESSING # ;Z '7 4' f \ , <br /> <br />ELBCTRICl:t <br /> <br />********************~********************~.*********************** <br /> <br />SIGNATURE <br /> <br />COMPANY~_//~/V;- Ekc:.1'n"c. . <br />-----~ ~----~-- -~------~~~~E;~~~~~N~:IS::;~-t70C/ /~p;rt <br /> <br /> <br />* * * * * ~** * * ** * * * ** **.** * * * * * * * ** * * * ** ** * * * *~"t * * * ~*** ** * * * * * * * * <br /> <br />PLUMBER <br /> <br />COMPANY-- <br />STATE CmtT OR REGIST # <br />CITY PR~)(,ESSINr:; # <br /> <br />SIGNATTJRE <br /> <br />*****************************************i'************************ <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />COMPANY-- <br />STATE cm~.T OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER. <br /> <br />COMPANY <br />STATE C]~RT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />