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<br />813-780-0020 <br /> <br />City ot LepnyrrulIls relit... "'t't'''~~''-'' <br />Building Department <br /> <br />Date Received <br /> <br /> <br />to- V'';- - <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />.,-- <br /> <br />Owner's Name -z:; <br />Owner'sAddrm II ~\ (. W. SW~ ~iJ <br />Fee Simple Titleholder Namel f-~ f A <br />... ...,. __......... L _ /!, /.. <br />JOB ADDRESS I t:;:O~ I>-- i ~l <br />I <br /> <br />7'">_1, ""'Zf'--~idiU_;'S. vL. J?~( I <br />~ ( ~ l- <br /> <br />I PARCELlD#ll "'Z... "2,.,,-"Z-\ 0000 04'100 <br />(OBTAINED FROM PROPERTY TAX NonCEI <br />~ AODIALT 0 SIGN 0 MOVE 0 <br />D REPAIR <br />o COMM D <br />o FRAME D <br /> <br />LOU I ~I <br /> <br />SUBDIVISION <br /> <br />-- <br /> <br />&l>l(i <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK II K1~Cl~'" ~-';)0(.... 0 vt-l ("I'> t '- (z:~/<1':.."1 ru>().~>tC <br /> <br />~~~~?I~~.~~~" .I.~~ )..~.?~~ 31'-.1., ..~~FOOT~~EI .... ... ....... .!. ..H~~7~..I..,,,,,,,,,,,,,, ,...L.....,...."...,..., <br /> <br />o BUILDING 1$ q () K I VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL 1$ 10 K. I ;f~~~~~: 00+ re~~dPROGRESS E::~, D <br /> <br />o PLUMBING 1$ I ~ 13, Po e.. vRlJ 1/;;1-IIUJ - <br />. +\ l<.... 8r'n~\ i")~. '1. Y'\'"'CJU. ~t- <br /> <br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION R.>. f1 VY"\ ~ <br />. "(.... K. .... - f~e~ Ca.-k ~ <br /> <br />o GAS ~ ROOFING 0 SPECIALTY D OTHER . - 5<.o.b \~sk-~I ~ ~ <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYEs.-j r;tNO - f)::l ~ :lL ~) <br />::.>, i:!:;-ft"7 <br />5e ~ <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />----. <br /> <br />.......( <br /> <br />W.R.E.C, <br /> <br />. /ELECTRICIAN <br />l.( SIGNATURE <br /> <br /> <br />~ <br /> <br />..:.. <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />:r,.JV <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />Address <br /> <br />l <br />(~PN <br /> <br />. A'LUMBER <br />V SIGNATURE . I <br />Address L.:...-. . _ r -l!".-!! ,- <br /> <br />~ECHANICAL! ~~ COMPANY <br />SIGNATURE REGISTERED <br /> <br />Address t:J c.er f) A.. License # <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEECURRENT LY.L!LJ <br /> <br />M~I ~# I <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111I1111111I111I <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennlt for new construct/on, <br />Minimum ten (10) working days after submittal date, Required onsite. Construct/on Plans, Stonnwater Plans wi Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdMslonsllarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-Q-W Pennlt for new construct/on. <br />Minimum ten (10) worldng days after submittal date. Required anslte, Construct/on Plans. Stonnwater Plans wi Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Penn/l for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construct/on. <br /> <br />COMPANY <br />REGISTERED <br /> <br />4.-; <br /> <br />\'--1 <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />iil~di~~~""'"'''''''''' ............................... <br /> <br />Fill out application completely. <br />OWner & Contractor sign back of application, notarized <br />If over $2500. a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMmlNG (Front of AppllcaUon Only) <br />Reroofs 'S9I.WIrs' - 'sEiniii:e Upgrades NC <br /> <br />.......... ................. '~~'j;'~{~'~'" .~. ~~. '*'p' :'.~" si .!~.. <br /> <br />'1"::.- ",:)<:.-7 C() <br /> <br />Fences (PloIlSurveyIFoo~l1e),; <br /> <br />Drlvewa)'S"Not over Counter If on ,public roadways..needs ROW <br /> <br />C~.9F ZEPHYRHILLS <br />u..- t /20/07 <br />~ <br />