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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.~ at <br />rro '" --I <br />I .J-frr <br />/f1, Y <br /> <br />THE PERRIER GROUP OF AMERICA <br /> <br />PHONE <br /> <br />, 813-783-1959 <br /> <br />OWNER · S NAME <br /> <br />JOB ADDRESS <br /> <br />4330 20th ST., ZEPHYRHILLS, FL <br />4330 20th ST., ZEPHYRHILLS, FL <br /> <br />33540 <br />33540 <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition llJJ.teration _Repair _Install <br /> _Sign ---,"ove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> _<:o.aercial l.L,Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: ADDITION TO A PRE-EXISTING BUILDING. <br /> <br />BUILDING SIZE: <br /> <br />25 X 25 ,( Approx.) Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-lLBUlLDING <br />~ELECTRICAL <br />~CllARICAL <br /> <br />PERHITS REOUESTED <br />$ 314,230.00 Valuation of Total Construction <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ 48,600.00 <br /> <br />Valuation of Kechanica1 Installation <br /> <br />~PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br /> <br />COMPANY KEENER CONSTRUCTION, INC. <br />State Cert. or Regist. . CGC 012bl3 <br />City License Registration . ;1.2 '1~ <br />************************************** <br /> <br />v' <br /> <br />RunDER <br /> <br />SignAture <br /> <br />COMPANY _J~i.oA::?~ (IJ')-~ <br />(See Attached) State Cert. or Regist. . <br />City License Registration' :230? <br />****************************************** <br /> <br />..,....- <br /> <br />Signature <br /> <br />COMPANYJ,J /Y M~-J- <br />( ) State Cert. or Regist. . <br />See Attached City License Registration' ~ (;L 7' S/ <br />****************************************** <br /> <br />I <br />PLOKBER <br /> <br />............- <br /> <br />MECHANICAL <br />Signature <br /> <br />COMPANY N'1t~ Ik/.I'-!:.. <br />State Cer.:. or egist. f <br />(See Attached) City License Registration' ~ ~ ~ <br />****************************************** <br /> <br />v' <br /> <br />OTHRR <br /> <br />Signature <br /> <br />NA--------------- <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />