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<br />04/09/2007 08:35 FAX 7275300045 APG ELECTRIC <br />APR/06/2007/FRI 09: 34 AM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br />81~7Sa-0020 City of zephyrhllls Permit Appll~tl~n <br />BulIdiIlSI Oepmtment . <br /> <br />141 005 <br />p, 002 <br />ib~hY1---' <br /> <br />Dilte RelOCived <br /> <br /> <br />'Cd l,,1/ i) ~ <br /> <br />owner.,h0ll8 Mumb~r <br /> <br />~ Phone ~~~r I .. .' <br /> <br />Ownoor. Plionl NIlm.rl. <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />F.. Simple TItleholder Add,... L <br /> <br />I SAtv? E" <br />I <br /> <br />. :=J .. Lon <br /> <br />. I PA~IlJjJ[6'5~2.6..-:2-I-tolO-l 0560- bCtlO' <br />. . jOllTAIJlItDJlRqIlPRDI'I!IUYTAXN01ICE) <br />-"~,N!WCONS'1'R B' 'AOD/ALT 0 SIGN 0 MOVE D DEMOlisH <br />t:l . .INSTALL .. REPAIR <br />O SFR . ~ .'COMM .D ,OTHER ~.. <br />PR<<;lPOSED USE ~. -- <br />TYPE of CONSTRucTION D BLOCK 0 FRAME '.D SlEl,.. . 'OT~ I .. <br /> <br />If..~L\ . "" ^""'P-/. -rr., NormJ 'S'i .::c ,,~ ~).i~L- <br /> <br />. . I.. SQFOOTAGEI -- -' <br />,..... '":.... II'''' II" ,'~ " ,.... ""'" .... :..,.. II.... ........ ..........:.. ','1, .... <br /> <br />o IlUILDiNG 1$ Z-b4 fJ!)1'J <br /> <br />o ELE~IOAL 1$ <br /> <br />CJ PL\!MBlNG ", ~ <br /> <br />CJ MECHANICAl. 1~ <br /> <br />o GAs ~ ROOFING <br />.~INISHED FLOOR ELEVATIONS I <br /> <br />SUBDIVISiON <br /> <br />woRK PROPOSED <br /> <br />..~ <br />I <br /> <br />DI!SCRIPTION OF WORK <br />BUILDING SIZli . r <br /> <br />. ,.~ . <br /> <br />fl:J 101)1) <br />~ /)1>0 . <br />1'l./4 <br /> <br />I" <br />I <br />J. <br /> <br />VALUATION OF TOTAL CONSTRUCTIoN <br /> <br />MlPSIiRVICIi CJ: 'PROGREl?SENERlll~' "D'" 'w_R.E~ <br />Flm-~-t s/J.1p '/ <br />. ~oC::- -: (X\ 'i" ~~ . <br /> <br />.~~. <br /> <br />$PECllll..1'Y D <br />FLOOD :tONE AREA <br /> <br />01l-iER <br />t::JYES <br /> <br />.DNO """,~~"c:l~n <br /> <br />I .' VALUAT~~ OF MI!~ICAL INSTALlATION:. <br /> <br />fin.S-c <br />BULPER <br />SIGNATURE <br /> <br /> <br />CJ <br />. -I'. <br /> <br /> <br />Add.-ss <br />. l1.5~?o <br />1( 11l:I!CTRIClAN <br />. 8iGNA1'U~li <br /> <br />YI <br /> <br />lJ1. UCllll$e# I <br /> <br />COMPANY ,IA"HL. .t:=LF~e ~.; ulYob" <br />~ ~~. I'III!~T. ~ /)D'.' <br /> <br />140tb7:Ave N Ste K Clearwate~ FL 33762. I ECoOOO486 ~ <br /> <br />, . <br /> <br />"I <br /> <br />CoMPANY <br />REGlSlSIlED <br /> <br /> <br />AddnlSS <br />I 00' <br />or Ll(JiABER l <br />8IGNAlURE _ <br />. Addtess I <br /> <br />I <br /> <br />COMPANY <br />'1'll!8lSlER1!D <br /> <br />I <br /> <br /> <br />I. <br /> <br />I <br /> <br /> <br /> <br />.'AcId,... I .,' "~!e# .'1. I <br /> <br />1111111I111111111111I1111111' 11111111I1111111111111I11111I11111111111111'111111111111111111I1111111 i 1I111l111111l11llil 111..11I1111111111111111111 <br />RESlbENTIAI. .AIIach (2) Plot Plans: (2) se&! 01 BUllII"; I"lIn5: (1) $M or f!nergy Forms:' R-D-W Permit for new construction.. . . <br />MInimum 18ft (10) worldllll dayllllfillr 8Ubmltlal da1e. Required onlllll. Con8l1udion p,-, SlannWllter PI.1Ill WI SII Fence In,lalIed. <br />SlIIlikvY Fedlllllls & 1 dlhl1P*r: Site WoIlC permit for &ubdlvlsklns/lal'ge pt'lIjed& . . <br />1CO...."l;~ AtladI (3) sell! at Building PIIIns; (1) lilt of EnlllllY Forms. R-o-W PermIt forllew c:onllruoliarl. '. . <br />~ ~ MJnlmlftll .... (10) warktng tIII11l-- .ubln11..1 dele. Requlrecl Dnslle. CDnstrucIian ~....., StonnWllIsr Plans wI Sill Fenae Installed. <br />SanibllY Fecllllles & 1 durnpsler. Site WoI\( p'ennit for III nllW projllClS.!'II ClDlll",srcIaI J8q1l118m.enls Ill""" ",eet campll:l.ncll ' <br />Attacn (2) sets of EnglneenKI l>.... . . .: <br />-PROPERTY SURVEY requ.i!'lld tor aD NEW.~'lrUg\lon.. . .. <br />D'~~':"..: .... .... TO' ......... ......... ....... ......... ....... ..... .., <br /> <br />AI out applcallllfl compl8b11y. <br />0- . Oontl=iclor sign back of appllcallan. llDlarlzed <br />If emir $2100. II NaClIlCl at COmmencemlll'lt Ia .nJqulted. eNC IIpgrades aver SSIlllDI . . ' <br />Agllllt (tor ihe Contractor)' af Power ", AIlD~ (fOr the owner) wculd be ~mllOl'le with Illllariz~ IlIltllr.from. ~ lII:I'IIia~:d'" '-.m.. . <br />.OVER TtfE COUNTER Pl!IOIrrTING (Fnmt of ApJIUcation OnlYI . . .' .. <br />Renxlfs SlIWeI5 15enilce Upgrades AlC Fences (PlotlSulvllJlFoolaQe) <br />. - -~,. .:.... -'. ..:.... 'l: <br />DrlV~Not avet'Ciiunter If PI'\ p&4IIIq'rqlI'll.......n...ds ROW <br />~! ::,~~t:,~.; i~'r'::;.;i;~:> ~ ;:: J~;~:::})~ <br /> <br />MECHANICAl. <br />SIGNATURE <br /> <br />Ul:tW <br /> <br />Addroc:c <br /> <br />.1 <br /> <br />; Llcena.ft1 <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY' <br />IUlGISTEREP <br /> <br />Y I III I '. I'll! CUMENT <br /> <br />~ <br /> <br />SICilN I"I!RMIT <br /> <br />/ <br /> <br />~,~ ~-, .: -~'/:'\~:l":.! "'~.":' . ! <br /> <br />.., " . ~ <br />'. <br /> <br />,.. <br />/ <br />. ..T.... .' <br />~..:t i <br />,,;;" I <br />(> .! <br />'\~,,:.' ./ <br />--\. <br />--..-' <br /> <br />:, ~:"::".:~..:~' -:' <br />