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04-3609
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04-3609
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Last modified
3/6/2009 3:21:54 PM
Creation date
2/8/2007 11:03:01 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-3609
Building Department - Name
FL MEDICAL CLINIC
Address
38107 MARKET SQ
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<br />I! ii <br /> <br />~; l' <br /> <br />j: , <br /> <br />I' ... r- ~ DiI <br />, le..tZUJ. /:2 '/::r?:,: ' :, <br />,/ <br /> <br /> <br />APPLICATION FOR PE:RKIT <br />GITY OF ZEPHYRHILLS <br />BUILDIBG DEPARTImNT <br /> <br />flur,JQ ..(j{'cl,cc, ( <br /> <br />c~ c' 'I f"5-/o <br /> <br />r-= rYl C- )'Y\. At \C /.3T S q u AI'c..C <br /> <br />J [IL- <br />I <br /> <br />PHONE <br />zL;'Pr'<-4c-'ot4L-L":,. P L- ~ 3,.SL.J<') <br />I <br /> <br />~ <br /> <br />OWIlER'5 ADDUSS 3f:,/ 3 ~ yY\..~-:-r ~J~ <br />JOB ADDRESS 3 !J / 3 j - /JUb!.k ET -59(/ A;eC' <br /> <br />LEGAL DESCRIPTIOR: LOT(S) <br /> <br />bz... <br /> <br />BLOCK ~ SUBDIVISION <br /> <br />'LJ <br /> <br />PARCEL I. D. , C) z-, 2-G ' 2-' - 0 () / (/ 'b 3 700 'v L' ~ il <br /> <br />(OBTAIN FRO!'! PRDPKRTY TAX NOTICE) <br /> <br />WORK PROPOSED :--.Jlev Coos~ruc~ion ..-Addition ...L.u~en.tion ~lr _lnatall <br /> ----13 ian ---.-Hove ~li8h <br />PROPOSED USE: _S1n&le Fuily ---.Jl/ F _' of Units .--J!/H <br /> / eo..ercial _Indus t.. _Swia. Pool _Other <br /> <br /> <br />~e.taur8llt .. Health Deparblen~ Approval <br />DESClUPTIOII OF~: /YJtJlJ /Py 2::-Jt/SI7N6 ~//~.s;O~/#..t:LL:LsvS"~ <br /> <br />BUILDING SIZE: <br /> <br />X. Square Feet. Heipt Of' <br />,r'/ <br />'Ly <br />AtTACH (2) PIDT PLAIlS 5: (2) SETS OF BUI1JJIRG PLAHS & (1) SU&GY FORKS. <br />A'lTAaI (3) SETS OF BUllDIRG PLANS & (1) SET EIERGY FORKS. Id- -'2, 6.2'-tA <br />PIl0PD.tY SURVEY BEQUIRED FOR ALL NEW GOlfSTRUCTION., ~ JJ-) , <br />J~~ -ffY.. <br />p~ REQUESTED iY r <br /> <br />RESIDEJITIAL: <br />COffMKRCIAL 1 <br /> <br />-----.BUILDlllG <br /> <br />s <br /> <br />Valuation of 'rotal ConatrucUon <br /> <br />~ <br />C:-c(<E p~",^ <br />~ S ,~4~{,' <br /> <br />""'~" ::'.. ._~-----,----- <br /> <br />AKP Service Plorida Power Corp. <br />') <br />Valuation of ftecbanica1 Installation~1i ----r{ <br />. -1'3!J <br />ROOFDIG 5P~ '/;'fh /~'J I <br /> <br />TYPE OF CORSnUK,Tl.OIt: -.Jl.ock ----yraae _Steel Other <br /> <br />W.R.E.C. <br /> <br />PUI.SBED FLOOR. ELRVAnoRS: <br /> <br />FT. <br /> <br />I.S PB.O.JECT lH FLOOD <br /> <br /> <br />YES NO <br /> <br />-~ <br /> <br />GAS <br /> <br />.................................. <br /> <br />,,' <br /> <br />Yl'I ec.),q...,c'l. ( <br />~~ J~"{,Yl <br /> <br />Signature <br /> <br /> <br />COlIfIRACI'OR. SECTION <br /> <br />cmtPAIlY R oda n r. '.,-..e. Sf Y I ,., J<:;t.e, r5' II'1 ,-. <br />State Cert. or R.e&ist. 'IbS l..( 'i~O()ollqCJcr <br />City Licens~ Registration . <br />.......................................... <br /> <br />F.T .RC'I'RICIA.1{ <br /> <br />S i RfUI tun> <br /> <br />COftPAIlY <br />State cert. or Regbt. f <br />City Licenae Registration . <br />07/30/96 Tl~ 14:37 [TX/RX NO 5300] <br />
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