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<br />12/14/2006 THU 16:02 FAX 813 626 9887 W.Jackson & Sons Const, <br /> <br />II ~~ J c) '1~ <br />,.j' fr\-0 , <br /> <br />%-2.... .co <br />)1. <br /> <br />,....,,,r.~ "...._,_~"..,,,. .__. ~.... <br /> <br />,1lJ9 07/00_~ <br /> <br />813-780.0020 <br /> <br />City of Zephyrhllls Permit Application <br />.. BuDding Department <br />',D~ <br /> <br />Fu-813-780-G021 <br /> <br />.....'Owner'. NIIII\8 <br /> <br /> <br />OWner Phone NWllber <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />r/ <br />Dale Received . <br /> <br /> <br />Phone Contact for PHnltlln <br /> <br />.Alwner's AcId_ <br />. Fee Simple Titleholder ,.._1 <br /> <br />I <br />I <br /> <br />I <br /> <br />I LOU I I <br />. A//~. 3i?-a5-~ \ - 00\0- oC\ac(j l- <br />I tl18TAIIIElI_PlUlPERTYTAXNCJTICEj 0000 <br />SIGN D MOVE D DEMOLISH <br /> <br />Fee Simple Tilleholder AcIdrees <br />'! <br />~ <br /> <br />I <br /> <br />V'J08 ADDRess <br /> <br />(D U\JL Roo.& <br />I ~CELIDII <br /> <br />E3 <br />D <br />D <br />'U/b1'liL <br /> <br />SQ FOOTAGE I <br /> <br />SUBDIVISION <br /> <br />WORK PR~POSED <br /> <br />B <br />o <br />o <br />I 5rk- <br />I <br /> <br />o <br />o <br />D <br /> <br />NEW CONSTR <br />INSTAU. <br />SFR <br />BLOCK <br /> <br />ADOIALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />. PROf'OSED USE <br />TYPE OF CONSTRUCTION' <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />V'DESCRJPTION OF WORK <br /> <br />BUILDlHG SIZE <br /> <br />I <br /> <br />HEIGHT I <br /> <br />.... ./ .... ..... ..;.. <br /> <br />o BUILDING IS ~OI.,oo.OQ I <br /> <br />D ELECTRICAL IS I <br /> <br />D PLUMBING IS . ., <br /> <br />D MECHANICAL IS I <br /> <br />o GAS D ROOFING CJ SPECIALTY D OTHER <br />FINISHEDFlOORElEVATlONS I I FLOOD ZONE AREA DYES DN~ <br /> <br />1111111" III) 111111111' 1111111111111111111111111111111111111111111111111111111111111111111111111" 1IIIIIIIIIIIIIIi 11111111111111111111111111111111 <br /> <br />.v1UiLoER COMPANV1 W .'j~":7a-n Ci 5un~ <br />SIGNAtURE REGISTERED ~ FEE CURRENT Lrl!!..J <br /> <br />Addren (l.<:\<enr\ d ~L- Ucensd I <br /> <br />COMPANY I <br />REGISTERED ~ FEECURRENT <br /> <br />.... <br /> <br />..... <br /> <br />... <br /> <br />.... <br /> <br />... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />W,R.E,C <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTAllATION <br /> <br />ELEc:rRlCIAN <br />SIGNATURE <br /> <br /> <br />L.Y!!U <br /> <br /> <br />Acldi.es I <br />:~:~E I <br /> <br />,Add,... I' <br /> <br />==1 <br />Ackhu I <br /> <br />. OTtER I COMPANY <br />SIGNATU.RE REGISTERED LIL!':L.I. FEECURREHT. L.Y!!U <br /> <br />Adclre.. I Ucense.. <br />JIIIII till fIJJJrllll.rllllllllllllll.III~llllllllllllilll.IIIII'11'111111111111111 'il~llllllllllllllllllrlllllllnr'IIIIJIIIIIIIIIIIIIIIIIIIIIIII1I1111 <br />RESlDEHTlAL AUach (2) Plot Plans; (2) sets of Building Plans; 11) HI Of EnefllY Forms <br />MInimum ten (10) woodng days afl8r submlltaldalil. Requil'ed onsile, ConmIcIIon P/8I1S, SanilaIy Fac:IitIlls & 1-dLmpSler <br />AIlach (3) sets of BuIldIng Plans; (1) sel of Energy Forms. . <br />Mnknum ten (10) working dayurier stDnlllal dale. Req..-ed onsile, ConslnlcIiOnPlans. SanItary Facilities & 1 d....psl8r <br />Ai commerctal nllJl*amants must meet Compliance. <br />AIIach (2) aels 0; EngIMwed PWla, . <br />-PROPERTY SURVEY required lor all NEW conslrucliDn, <br /> <br />Ucense. <br /> <br />COMPANY . <br />. REGISTERED <br /> <br />FEE C1IRRENT <br /> <br />L!ilLl <br /> <br />~ <br /> <br />Ucense # <br /> <br />COMPANY <br />REGISTERED <br /> <br />LIL!':L.I <br /> <br />ffEC~ . <br /> <br />Lr!!LJ <br /> <br />license # <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />III rUI 111111111111 ..rn In 111 'fIlII IT' r 11111. 1111111"11 1111111111111 ITII T1T1I1~IIJJllrllI"IITJTrI 11ft.' <br />Dlnicti.....: <br />Fm out apPicallDn CDllllllelely. .... <br />. OWner & ConIrador sign back of appIIclition. not;arlzed <br />If I>1'8r $25Ot1.a NotICii ofConuile_nt k requl...., (AIC upgrades Oft. $SOOO) <br /> <br />Agent (lor !he amIraclor) Dr P_ of Attorney (rot !he owner) ~ be someone with noIarlzed IeIler flom owner aUthorizing same <br /> <br />OVER THE COUNTER PERMmlNG (Front of i\IJpIIcaIIon Only) <br />Raroofs . S_rs Service Upgradee . AIC <br /> <br />, III .. fll <br /> <br />Drl~ <br /> <br />Fences (PIoIISurveylFoolage) <br />