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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYIUIIU.S <br />BUILDIliG DEPARnIENT <br /> <br />OWNER "S. ADDRESS <br /> <br />6446 BENTWOOD DR. <br /> <br />PHONE <br />ZEPHYRHILLS, FL. 33541 <br /> <br />(81.3) 780-8701 <br /> <br />OWNER "S NAItE <br /> <br />DR. & MRS. DONALD KATZ <br /> <br />JOB ADDRESS <br /> <br />6551 NORTHLAKE DR. <br /> <br />ZEPHYRHILLS, FL. <br /> <br />LEGAL DESCIU.PI'I.ON: LOT(S) <br /> <br />2 <br /> <br />BLOCK <br /> <br />1 <br /> <br />SUBDIVISION <br /> <br />SILVER OAK GOLF & COUNTRY CLUB <br /> <br />PARCEL LD.' <br /> <br />S 3 <br /> <br />T 26 <br /> <br />R 21 <br /> <br />WORK PROPOSF.D:~Nev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />X Single Faaily <br /> <br />_K/F <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_~ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />BUILDIliG SIZE: <br /> <br />_Restaurant II Bea1th Depar~t Approval <br />p~~!Bg&aga~. 2~tlg 110' 0" --- 114' 0" <br />X 'Tgt JJSl ~re Feet. <br /> <br />Beight <br /> <br />RESIDENTIAL: <br />cottKERGIAL : <br /> <br />An'ACB (2) PLOT PI..MS II (2) SETS OF BUILDIIiG PLANS II (1) SET ENERGY FORMS. <br />An'ACB (3) SETS OF BUILDIliG PI..MS II (1) SET ENERGY FORtIS. <br />PROPERlY SURVEY REQUIRED FOR ALL IIiRW OONSTRUC'l'IOB. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDIIiG <br /> <br />$ <br /> <br />179,820.00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECIRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ltECBAlO.CAL <br /> <br />$ <br /> <br />Valuation of tlechanica1 Insta1.lation <br /> <br />_PLlJKBIIiG <br /> <br />GAS <br /> <br />ROOFIliG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOBSnmcnON: _Bloc1t ~Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOBS: 100 FI . <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? --X- <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br /> <br />OOIfI'.RACI'OR SECI'ION <br /> <br />COKPARY FAIRFAX HOMES, INC. <br />State Cert. or Regist.' CGCU))lYb <br />City License Registration , __4Q9 <br />.......................................... <br /> <br />Signature <br /> <br />F.T.F.CIRICIAli COtlPANY IN ELECTRIC of TAMPA BAY, INC. <br />~~(""-.... (_ - State Cert. or Regist. , ERcQ\QSZ. L. <br />Sion#llture ~ V ~ ? City License Registration' " 8Q <br />.......................................... <br /> <br />PLUKBER i'./ 7 ,- COtlPANY CHRIS BAHR PLUMBING <br />1 .. ',+ /i \, ." 4. State Cert. or Regist.' RF0041548 <br />Signature L .. r~c /:.(~~A./' lLJ. //)/'/l;~) City License Registration' dJ1i!iJ'" S? <br />v .......................................... <br /> <br />/' <br />ITrIIF.R J1j e-~J <br /> <br /> <br />COKPANY AIRTRON, INC. <br />State Cert. or Regist. . <br />City License Registration . <br />.................................... <br /> <br />,,/Oro 0 C9(p ( Z .?- <br />3d- <br /> <br />tlECIIAlfiCAL <br />Signature l~tU1&~ e.- <br /> <br />Signature <br /> <br />cotIPANY ikrR~~E c:P~fT C/. <br />State Cert. or Regist. , <br />City License Registration # <br />.......................................... <br /> <br />APPLICATIOB APPROVED BY <br /> <br />71a M.(<(j ..yJ; /lAhJ- <br /> <br />PERtlIT OFFICER. <br />