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<br />APR/06/2007/FRI 09:34 AM <br />81 :3-7~O-0020 <br /> <br />ZEPHYRHILLS BUILDING FAX No, 813-780-0021 <br />City of Zephyrhllls Permit Appl1Catl~n <br />Building Department ' <br /> <br />p, 002 <br />i~~~~1--- . <br /> <br />JOI3 ADDRESS <br /> <br /> <br />Date Received <br /> <br />J <br />'1 <br /> <br />O\nlnerPhoneNumb~r <br /> <br />OWner phone Nu~b~r I <br />Owner. Pl\one Number I. <br /> <br />Owner'5 Name <br />OwnerlsAddres~ ,r7~~/') 6A~'- <br />Fee '''''p1e Titleholde, "emel5AMG <br /> <br />Fee Simple Titleholder Address [- . <br /> <br />. ~ . LOT # r. <br /> <br />PARca 10#[36,.215 ....2-l-tolO--l 0560- OODO' <br />. (OaTAlN~p FROM PROPERTY TAX NOTICE) <br />,,' ~ . NEW CONSTR r-J 'ADD/ALT D SIGN 0 MOVE D DEMOLISH <br />o . IN5TALLCI R~PAIR <br />PROPOSED USE 0 SfR . B .COMM. 0 OTHeR .1 .. __ <br />TYPE OF CONSTRUCTION D aLaCK 0 FRAME . D STEEL 0" OTHeR. I <br /> <br />::~::::OF7RK IAUj\I~:YarA::i NoRW ~/rH:fY I}(: ~>>T~L- . <br /> <br /> <br /> <br />:lTTTTTl111l1111 'I" 111'11'1"11'" "" .1111; ~ ""'" 111'11111 J' \11111111\111111"; 11111; II" 11'1:1111111' \111' '11111111'" I ,.,.".. 1.1" "1'1' II" 'IT <br /> <br /> <br />o BUILDING 1$ . 2bD, ODt> r VALUATION OF TOTAL CONSTRUCTION . . , <br /> <br /> <br />D ELECTRICAL 1$ ] AMP SERVIC!: D. . PROGRE~S ENERGY' . D WoR,Er....Ci.)S <br />, lD;ODD _ F/I''()-~-t S/J.l,rJ \~ <br />D PLUMBING ~ 5; Of) () J . . ~OC- ~ (Xl'lr .p.;{'rn"r\- . <br /> <br />D Mf:CHANICAL 1$ N/4 I VALUATION OF MECHANICAL INSTAlLATION <br /> <br />D 13AS ~ ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR J;LEVATIONS I .1 FLOOD ZONE AREA DYEsDNO 5~'lfirl:.,t-J~.h€c.l'~;';'ta. <br /> <br />sua DIVISION <br /> <br />1<5~E <br />I <br /> <br />l <br /> <br />WORK PROPOSED <br /> <br />i <br />I <br /> <br />~~~. <br /> <br />'671,5-0 <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br />l1~ .,-0 <br />~ ~I:Ec"TRICIAN <br />. SiGNATU~E <br /> <br /> License # <br />I COMPANY <br />REGISTER~O <br />I COMPANY <br />REGIST~ED I Y/.N <br /> Ucens8 # <br /> <br /> <br />~~ <br /> <br />SIGN PERMIT <br /> <br />fill out application completely, <br />Owner & Contractor sign back of application. notarized <br />If ovltr $2500, a Notice of Commencement Is ,required. (~C upgrades over $5000) '. . <br /> <br />** Agent (for the Contractor)' or Power of Attorney (for the owner) would be someone with notarized letter ,from. oWl)e~ a~'tho~~lng same . <br /> <br />'OVER TH~ COUNTER p~RMlmNG (Front of Application Only) . <br />Reroofs SeWers Service Upgrades Ale Fences (Plot/Survey/Footage) <br /> <br />,... .~. " ":,. :' '... ....... 'i ._.....:.,,/1.-..., <br /> <br />Dri"ElW~,:.rlll-N~~::t~;:.~~.~~~~r:::~~,,~ubll:,~.',..:~...:...'.~..,~, :~...:.J~.Y.~.5..nQQdS ROW '1"; i ;!:.~,/:::; .;\/":~;" , <br /> <br />;.'::'1:." ..~.i~ ~,""" '., I:,'~': . .! ::"~': ,(~: :..:- .!.:. " i.', <br />'t p... : ~ ..d ..,.. . : .' . j:1 i \ . <br /> <br />.,/' <br /> <br />,., <br /> <br />.-' <br /> <br />., <br />'. <br /> <br />.' <br />.<" <br /> <br />y' <br /> <br />.', '. <br /> <br />(. j'. <br /> <br />.'S. <br />