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<br />0/' <br />~\'813-_ <br /> <br />Date Received <br /> <br /> <br />Cfty of Zephyrhflls Permit Application <br />Building DepMment <br /> <br />F8X-813-780-0021 <br /> <br />- -of)' <br /> <br />Owner's Address 5439 'RatM~ <br />Fee Simple TItleholder ~ [ <br /> <br />. . --~ . ....,-- - <br /> <br /> <br />"$ , <br />Owner.p~ Hum.... <br /> <br />1 """'--1 <br />, 33634 <br />Owner Phone Humber I <br /> <br />PItone Contact far <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleh0Ider AdcfrM. [ <br /> <br />~ ?-JieJ-LtS <br />r SilveraOO <br /> <br />I>>A~ (~r({ Ci- LOT, [?, <br />I PARC!L1Dt1 4-26-2.1-()O(oO-oO I DO.- CO 00 <br />(OBTAINED FROM PROPEItTY TAX NOTICE) <br />Ci1 NEWCONSTR E3 ADOIAJ..T 0 SION 0 MOVE 0 <br />D INSTALL REPAIR <br />PROPOSED USE Q sm 0 COMM D OTHER I <br />TYPE OF CClNSTRIJcnoN ~ IlLOCK . ~ ""- 0 Sl1!EI. 0 OIlER I <br />DESCRIPTION OFWORI( \ b. ~ Single Family Residence <br />BUILDING SIZE r wftJ::; X '3.r) , SQ FOOTAGE I d-6M--1 HI!IGHT I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />~(P~.o-o I <br />[$ 1)(oJr).Ob I <br />::~~:: j <br /> <br />'0 ROOFING' 0 <br />FINISHED FLOOR ELEVAnONS ~t. L( 0 I <br /> <br />VALUAnON OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WRE.C, <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />Mac'-_ <br />"\ -.1'1 <br />~( \ (,'(. i l 1/-' I) \~ <br /> <br />~Ijl"_- 1-..:' ~ <br />."; <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE . <br /> <br />Add..... <br /> <br />Addr... <br /> <br /> Ucenee fI. <br />COMPANY <br />IU!GIIT8I'l8O <br />COMPANY ; <br />IWCI""MC <br /> Uoenee fI. - ---1 <br />COMPANY LVI N V/N I <br />.....,.MD ~l!l! CUMeNT <br />I Uaen.. fI. r I <br /> <br />:>LUMBER <br />~IGNA TURE <br /> <br />'THER <br />IGNATURE <br /> <br />Address [ <br /> <br />ESIDENTlAL Attach (2) fIIot ....,., (2) .... Of BuildIng P"nel (1) _ Of RIWJW r-onn. ' <br />MInfmuM tift (10) ~ cMye ..... eubmlttltl dtIte. fItequJred on..... Oonltruollon PI.".. Sanltery JI.oJlltI.. & 1 dumpater <br />:)MMERC/AL Attach (8).... Of 8UItdJnj PlMeI (1) _ Of..... JIorrntI. . <br />MlnfmuIn ..., (10) WDl'Idno cMye after eubmftbll d.... ~tlCIUINd on6, OonattuotJon PI."" hnlt8ry "eoJlltI.. & 1 dumpater <br />All ~ .....~ muetmMt compJlenoe. <br />GN PERMIT Attach (2).... orl!nalneeNd ....nt. <br />* P~ I 'I 8U1WaV NlCIUlNd for "I NIIW 00I'lItru0II0ft. <br /> <br />re~:~~~~ appllCltkln ~Y. <br />Owner & 00ntrlt0IIar Ilan Mdt 01 ~, notIrIud <br />If over $2SOO, . NoIIee of CoRIlDMoemeftt Ie NClUINd. (Ale...... owr $8000) <br />Agent (for the ~ tJI P<MW 01 Attorney (tor the owner) would be IOmtone with nm.rtzed letter from owner authorizing ..me <br />'ER THE COUNTIIR PfIIIIIItmNO (Front of ApplJcdon Only) <br />Reroofs S8We1'8 ServIoe Upgrad.. AJO Penoes (PIofISurveylFoofage) <br /> <br />Drlvewaya-Not over Counter "on pub//c roadways..needl ROW <br />