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<br />813-7sS..ob20 <br /> <br />City of Zephyrhllls I-"ermlt AppliCatiOn <br />Building Department <br /> <br />rdA-U I~-' UU-VVL I <br /> <br />Owner's Name <br /> <br />~~ I~ <br />AJ, ~6~o('e.. <br /> <br /> <br />Owner Phone Number <br /> <br />boi>wner Phone Number I 213 ~ 205 - 68 7l.( c~ I J <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />'3. .~ &. -0'7 <br /> <br />Owner's Address <br /> <br />Fee Simple Tltleho der Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titieho der Address I <br /> <br />I G'/"'IlJ <br />I f,/",) <br /> <br />I <br />I <br />I <br /> <br />WORK PROPOSE~ <br />! <br />PROPOSED USE i <br />TYPE OF CONSTRiCTION <br /> <br />DESCRIPTION OF ORK <br /> <br />BUILDING SIZE I <br /> <br /> <br />B <br />D <br />D <br /> <br />fiNk IOl,.)l\ku.....tS ThCoo Y6-J02 <br />Pc.rk- % i.-J^ ~i)W\e.s I PARCELlD#l1 <br />EJ <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />7 n:..c..lr A OJ(, Iv:.t:,'t'l ~G-il(J~ LOT #I I <br /> <br />03 - '2..b-2.,1 - b1..30- OOAOD"" 0000 <br />(OBTAINED FROM PROPERTY TAX ~OTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER <br />STEEL <br /> <br />('D n-n-v I <br /> <br />I Fe",C'c.. 6--~-\-eS, A-u~S5 <br />, <br />D OTHER I <br />G+rz, <br /> <br />I <br /> <br />1$ -- --raEl d.ldJ I <br />~..q~. . <br />D ELECTRI AL 1$ lAMP SERVICE D <br /> <br />D PLUMBIN~ 1$ I r:~ ~(>f><"-VcJ)'/ ,Jee. <br /> <br />D MECHANfAL 1$ I VALUATION OF MECHANICALlNSTALLATION .fitr-.+&~~fjloJ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER U~&~",-lt.rx-. <br />FINISHEDFLOOR~LEVATIONS I I FLOOD ZONE AREA DYES DNO R~fiu'\"l.D-P'~H~ <br /> <br />I11111111I11111111 d 1111111/111111111111111111111111111111111111111111111111111111111111111/111111111111111111111111111111111111111111111111111111 <br /> <br />COMPANY I I <br />REGISTERED <br />I <br />W 935-{f2ff <br />I Y IN I <br />License # I (;, 'Y2 00 cr1;) '=' I <br />I <br />I <br />I <br />I <br /> <br />C'I"'. 0..u.., <br /> <br />~( h~'Sh+ <br /> <br /> <br />D <br /> <br />BUILDIN <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />BUiLDER <br />SIGNATURE <br /> <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />License # I <br /> <br />I Vll;'TO\1F eLtv~{L <br />I Y I N I FEE CURRENT <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE' <br /> <br />Address <br /> <br />LIcense # <br /> <br />RESIDENTIAL <br /> <br />IAttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fon <br />I Minimum ten (10) working days after submittal date. Required onslte. <br />'I' Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlslonsllar! <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Perl <br />IMinimum ten (10) working days after submittal date. Required onslte. <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />:l, <br /> <br />Driveways-Not ver Counter If on public roadways..needs ROW <br /> <br />( <br />- 'v~JX ~\ \'~~ <br />\J / () aL:> <br /> <br />(2:5 Iloc<ll t ~ ~ <br />cJ~7 Q."'. <br />S. ~ <:1.' <br />\ I "" 'Y' <br />CX{f ~ I ~~I' V <br />Gt.~'( ~J <br />Q.J Ce,~~ <br /> <br />I, <br /> <br />COMMERC!AL <br /> <br />SIGN PERMIT <br /> <br />CII.I:r <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000) <br /> <br />Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with n <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades A1C Fences (PloUSurve <br />