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<br />11.L/"~ ."""7/1 " <br />Jc Lj/LlU JuN 04:38 PM <br /> <br />ZEPHYRHILLS BUILDING <br /> <br /> <br />F. 002 <br /> <br />. 813-111Q--OP20 <br /> <br />vuy UJ L..glo"'J".~U- j .........,. "1". <br />Buildlng Department <br /> <br /> <br />Dllte Received <br />.. .. .. .. lJ'.L. <br /> <br />..~~ <br /> <br />:A Ue ~ <br /> <br />Owner pf1o.... Number <br /> <br />owner Phone Number t <br /> <br />.OWllBf PhOne Humber I <br /> <br />owner'$ Name <br /> <br />lOU I' <br /> <br />JOB ADDRES~i <br /> <br />DE5~RIPTtON 01' woRK <br /> <br />E3 <br />o <br />o <br />r <br /> <br />NEW CoNSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />. P~CELJD' I - <br /> <br />~~Dln-T 0 <br />)::::J , REPAIR <br />o ' COtwlM ' D OTHER I . <br />,0 FRAME .0 . STEEL D <br /> <br />fee 0..\' G/O wI c\~~-\-tflORk. <br /> <br />sa FOOT/lIJE I I . HEIGHT [ <br /> <br />I. <br />I <br />! ! <br />: OTHER I ! I, <br />q~~ I ~"'-h'M,. <br /> <br />DEMOUSH <br /> <br />5UBPIV1$\ON <br />WORKPROPOSED <br /> <br />pROPOSeo us.. <br />TYPE OF CONSTRUCTioN <br /> <br />BLlILDlNC'J SIZE <br /> <br />l <br /> <br />A- Jr_ <br />~. <br /> <br />I <br />J <br />I <br />I <br /> <br />o SPECIALTY 0 <br />]. FlOOO ZONE AREA <br /> <br /> <br />l == <br />J 91 <br /> <br />I ~~I <br /> <br />nAP SERVICE <br /> <br />o <br /> <br />PROO~5S ENERGY <br /> <br />I <br />I' <br />D' W.R.,.C. .. <br />. ;r/ <br />,/-<1 <br /> <br />/< Ai ~ q()9 <br />I --(.II <br />I <br /> <br /> <br />BUll.OIN3 <br /> <br />Vn.UAT10N OF ToTn. CONS1'RUCflON <br /> <br />o <br />o <br />D <br />y1 <br /> <br />r <br />I' <br />I' <br /> <br />ls G. \. ""'5D . <br />o GA~1 D <br />FINISHED l'WOR EI.EVA'TIO~ I <br /> <br />ELE,OTRlcAI. <br /> <br />PLUMBING <br /> <br />ME(:HANICAl <br /> <br />VALUATION OF MeCHANlcAl.lNSfALLATlON <br /> <br />Rool'lNG <br /> <br />OTHER <br />CJYES <br /> <br />ONO <br /> <br /> <br />Y N <br /> <br />FEll CUJlREIfl' <br />ucan~' l <br /> <br />Y N <br /> <br />BUIUIER I <br /> <br /> <br />~:;;) --11 <br /> <br />,A.ddren ~ _ <br />PLUMBER I <br />SIGNATURE! <br />Addr&&& I .' I <br /> <br />. :=~~~li tA-~ . ~I ~<:= Ac:;~' <br />a<H=-~'ih' CoR QQfl~ --p~ --V~I;: lll.olq <br /> <br /> <br />SIGNATURE' __ _ __ Rl!l;l8TERl1D . Y I N FEECURflEtIT Y N <br /> <br />-Addren L . . J .' Li~:llt#' I : ". !~ <br /> <br />11'1111111 I'" 11111111111111111.1111111111111111111111 i 111111111111111111111111111 >>111I1111111111111111111 I I' 1.I11111l1l11l1l11l11l11I II I III Itfttttt- <br />ftESItIENTlAL. A\1aCh (21 Plot Plan:;; (2) eels 01 BuIlding plans; (1) est 01 Ene<gy' Fonns; R-O-W Permlt fOr llliw c.onalrullllon.. ' I <br />MInlIlIum tllll1 (10) worldng day:; ilIler submittal d.- R8q1Med 00$/18. CanstJUdion Plans, StOrmwalBr Plans wI SlIt Fll!IO" in&taIed, <br />Simltaly F~ a 1 doo1psltJr; 5118 Wor1t Permit far suIlCllYl&lonS{la~ jIl'OjBCIs . . . . I' . <br />~ch (3} ~ at auildiog-Pll!IlWo (1) BIll of Energy Fonn&. R-Q-W PllJJJ1ll fr>rnew cona!iw~on, . . <br />MinIm"", ten (iO) IMWIng lAyllslltlr submittal dais. RBqu!ied QrlIliI6, CotleIrucUon 1'I;m!I, stonnwal8r Pt8na wI Sit Fena& l' ' <br />Silollsry F~1Iee & 1 dIlmpst8r. SIIB Work Permlt fOr all new pro]eols. All catIlITI4lltlbl requl,.,;,,8I\l5 ",ust meet compliance <br />Altllch (2) 881& Qf E1/Iglneered Plans. . . <br />~"pROPERTY SURVEY ~uJred tot 81 NEW oom;lrudJon. , . . <br /> <br /> <br />nl~~~5'~~~;~~;~~::,'~:~~' ,.... ...... ,..... ...... u:.. ......I ~I..'.. ,..", ...... 'f'" "ur. <br /> <br />If Dver S25DD, B Notice of Commenoement I,. roqul....d.. (Ale upgredP over $Ilooo) I <br />." Agent (fDr the' conltactor) Dr Pow~ oi Attom~ (tOr th,; "WIler) w(lUlcl bo 100/I\8O"" ~ IlDbrI2sd IeII8r fmn'I oWner ;1IlJIho.ridfIg &iII'IIB I <br />'OVER THE COlJHTEIl PERMlTTINCil (FI'OIlI of Appl1celiDrl only) <br />R"rgofll, ~_r~ . SerII\Ce Upgt8dea' MC F~ (Plol/5ulVey/FoDbge) I' <br /> <br />Drlv.",1ie.)'8--Nc>1 ~ver 9Duntar'lf 01'\ p~lo ",aiIway,;..needs ROW <br />. . <br /> <br /> <br />i <br />"---r ------.-~=...- ----... ---.--- --- ~t--__.. <br /> <br />l\oDilse# <br /> <br />I <br /> <br />L.!L!i.J <br /> <br />I~YI N <br /> <br />FEE~T <br /> <br />L.!:.!iLJ <br /> <br />LVI N J <br /> <br />~~ <br /> <br />COMMERC1/l,L, <br /> <br />6lGN PERMrr <br />