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<br />AUG/ll/2006/FRI 11: 18 AM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 <br /> <br />813-780..0020 ' City of Zephyrhllls Permit Application <br />Building Department <br /> <br />p, 002 <br />r~x.o I "-I O\rVV"" . <br /> <br />Date Rlleei.ved <br /> <br /> <br />Owner'. Name <br /> <br />Owne". Address ~ L'It.LmMMOc.k.. d.t.. <br /> <br />Fe. Simple TItleholder ~amel . . <br /> <br />File Sl~ple TItleholder ~d~r-.SS I <br /> <br />~,IY ~V(.LJ:nrv,<V'\rlL~ rta..,. LOT' [ <br /> <br />l.(n.kt.t~J'\ . 1 PARCELlDI[ .34-~~' - Jj... 0 IOb~ orofJf> -DJ.tj() <br />(OllTA/NiD FROM PROP,ItT' TAX NonCE) . . <br />8 NEWCONSTR E3 ADD/ALT D SIGN D ,MOVE D bEMOU5H <br />INSTALL . REPAIR ------" . <br />PROPOSeD 1J5E 0 CJ COMM ~.. OTHER j..IbJt... <br />TYPE OF CONSTRUCTION D 0 FRAME CJ STEEL D OTHER I <br /> <br />~OB ADI;JRE88 <br /> <br />SUBDIVISION <br /> <br />WORK PI\OPOSED <br /> <br />.J <br />I <br /> <br />DESCRIPTION OF WORK ~ <br />BUILDING SIZE! I, /'i7"~ FOOTA~i! <br /> <br /> <br />HEIGHT 1 <br /> <br />~ <br /> <br />0 BUILDING <br />.C], ELECTRICAL <br />0 PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />. ~'7 575- <br />1$ <br />Is <br />1$ <br />D <br />FINISHED FLOOR ElEVATIONS I <br /> <br />-- <br /> <br />I . VALUATION OF TOTAL CONSTRUCTION <br /> <br />I <br />l <br />I <br />o <br />1 <br /> <br />AMP SER.VICE <br /> <br />c=:J ' PROGRES~ENeRGV <br /> <br />D <br /> <br />W:R:E.C <br /> <br />ROOfiNG <br /> <br />T~~A:~':'~t pe'e:. ~OD <br />VALUATION OF MECHANICAlINSTAI,.LA,TION,IL..,' "'; _ ~.L~~. ,~o....,... <br />. . . t'lH.J.I~(rl$ ~"1..VTlT! ~- ~. '- <br />SPEOIALTY D. o:rHeR'. <br />FLOOD ZONE ~EA. . C]V=S, DNO <br /> <br />Addreee <br /> <br />. ~EctRlC <br />SIGNATURE: <br /> <br />'llllllllll i i i illlll 11lI1I II i i" <br />17 "./)" ,. A",! 5 . . J <br />1-f1rr I FEE~RRENT I Y / N I . <br />~\ s If UCQf1se# rCJ>c I ~s"c,4~ I <br /> <br />a,~:: I. ~~kln~ . 2(~:~i.~ I <br />Rf:!GISTEREP I V / N I . . FEeCUMENT " .L V I N ,. <br />L1oense:#)( I (3{'O()()? /2/. I <br /> <br />MPANY ~l'~.. '~O"D\~.. .. . I <br />REGISTlim:o'.~ J ':F~'.. I V/N I <br />LICense ~ . reI {It( ~ f td-- I <br />.1 <br /> <br />I <br /> <br />I, . <br /> <br /> <br />Address I, .' l . U.cen~~# II <br />1111 " 1111111 " 1111111111111111 i 1/111111111111111111111111111 I II 11111 III tulllllllllllllllllllllllll i 1111I111 j I I " 111111 f 11/111111 j illIlllll U I j II <br />RESiDENTIAL Attach (2) Plot Plans; (2) set:! of Building Plans; (1) set of Energy Forms' . <br />MInimum ten (10) working days c!tier lJubmlttal date. Required ohslte, Construction PlanstSanltary Facilities & 1 dum paler <br />Attach (3) sets of Building PllIl1s; (1) Get ot Energy Forme. . ~,.. ""~"" . . . , <br />MlriImwn ten (10) working days after :lIJbmlltal date. Required onslte, Construction Plans, $anltalY Facilities & 1 dumpster <br />All commerclal requirements muet meet complllll1ce. . . <br />Attilch (.2) sets of Engineered PI.".. <br />"'~PROPERTY SURVEY required for all NEW oonsirucUon. . . . . ' <br />1111111111111" 11.111111111 i 11111111111111111111111111111111"1111111111I1111' I 111111111111111111111111111111111111111111111111111111I Hili i 111111111 <br />Olr~tlo"8~. . . .. .' ..' . <br />PIll out appliC8~on compl~toly, . <br />owner & Cont/lletor $Ign back of appllClltlon, notarized <br />If over $2500, ;il Notlco of Commenc:ement ill. required. (Ne upgra~ over SIOOO) <br />** Agent (tor tho contractor) or Pomr ot Attornoy (for the owner) would be someone with notarized letter from owner authorizing $ame <br />. OVER THE COUNtll!R PI!RMITTlNG (Front 01 Application Only) <br />Reroofs . SewerlJ Servloe Upgrade. AlC. <br /> <br />BUILDER <br />SIGNATURI! <br /> <br /> <br />COMPANY L <br />REGISTERED <br /> <br />VI N I <br /> <br />1"1!!! CURRENT <br /> <br />Y/N: I <br /> <br />/ Addre.. <br />f'l PLUMBER <br />8IGNATURE: <br /> <br />. Addr... <br /> <br />MECHANICAL I <br />SIGNATU~ . <br /> <br />. Addre~ I <br /> <br />~?:::TURE [ <br /> <br />License' <br /> <br />I ! <br /> <br />COMPANY <br />RliGlSTERED <br /> <br />Y/N <br /> <br />I"EI! .CUAI'lENT <br /> <br />YIN I <br /> <br />coMMERCIAL <br /> <br />flGN PIIRMIT <br /> <br />FenQ." (PlotlStirvey/f':ooblgo) <br /> <br />, Driveway.-Not oVllr Counter if on publle roadways"neede ROW <br />