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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~;TE -REC2IVED G2 - /g -' f) i) <br />PLlUIS RBVI"" ~ sryJ- <br /> <br />813.783.1959 <br /> <br />OWNER'S NAME THR PERRRIER GROUP OF AMERICA <br />JOB ADDRESS 4330 20th STREET, ZEPHYRHILLS, FL 33540 <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 10 1# <br /> <br />SUBDIVISION <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />Ol\lJlJITION <br /> <br />fiALTERA'fION <br /> <br />(OR'('ATN FROM PROPF.RTY TAX NOTTCEI <br /> <br />Os I GN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLI SH <br /> <br />OMULTI-FAMILY <br />lj8&NDUSTRIAL <br /> <br />01# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBI LE HOME <br />o OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />RRMOVR & REPLACE APPROX. 11,700 sf. OF EXISTING CONCRETE <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLo'r 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 EDR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />[] BUILDING <br /> <br />$ 204,298.00 <br /> <br />VALUATION OF TO'l'AL CONSTRUCTION <br /> <br />[] ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />[] FLORIDA POWER <br /> <br />[] W.R.E.C. <br /> <br />xu PLUMBING <br /> <br />~ECHANICAL <br /> <br />$ 17,500.00 <br /> <br />VALUATION OF MECIIANCIAL INSTALLATION <br /> <br />[] GAS <br /> <br />[] ROOFING <br /> <br />[] SPECIALTY <br /> <br />[] OTHER <br /> <br />TYPE OF CONSTRuc'nON: H BLOCK <br />FINISHED FLOOR ELEVATIONS <br /> <br />o F'HJ\ME <br /> <br />o S'l'EEL <br /> <br />[] OTHER <br /> <br />IS PROJECT IN FLOOD ZONE AREA[J YES <br /> <br />[J NO <br /> <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />COMPANY KEENi~ CON~'T'RTTr.'T'CO~~~1j <br />STl\'l'E CERT OR REGIST 1# <br />CJ.'l'Y PROCESSING II ~ -tl CO2 ./ <br />,t... -:.............. <br />************..*.**************************** <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />PLUMBER .f'17 <br />SIGNA'rURE' ~~ 4.-zt~/hfJ~ <br /> <br />*****************.************************************************ <br /> <br />ALDERMAN PLUMBING, INC. <br />COMPANY <br />STATE CERT OR REGIST II <br />CITY PROCESSING 1# <br /> <br />MECHANICAL <br /> <br />**********~*****************.************************************* <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING 1# <br /> <br />SIGNATURE <br /> <br />**.*..**.******************************************************** <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST 1# <br />CITY PROCESSING II <br /> <br />***************************************************..**.****..*** <br /> <br />.. <br />