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<br />08/09/2007 10:02 <br />813-760.0020 r{'C,,\ <br /> <br />3525674454 <br /> <br />MIBAR <br /> <br />PAGE 02/08 <br />FBx-813-780..0021 f 103h <br /> <br />-6 ~u.9f City of Zephyrtlills Permit Application <br />BuildIng Department <br /> <br />Date RecelvC<l <br /> <br /> <br />Owner's Name '(' <br />Owner'sAdd_ l'?t::>. 'bo'l. \~olc "leon~~\b \(:"l <br /> <br />,"~...-",,_I {l1~r~gl(!... I <br /> <br />F.. Simplf! TItleholder Address <br />~ S\- ?"-e.pnt~\iIUs \~\ 2>35l{~, I LOU <br /> <br />I PARCELIDlJI \\-a\JI~';l\~~\t>-l~co.e~ <br />IOIlTAtfoIED FROM PROPERTY TAX NOTlCEI <br />o ADDIALT D SIGN 0 MOVE 0 <br />D REPAIR <br />o COMM D OTHER 1'Rt..fl..Mf <br />o FRAME 0 STEEL D OTHER I <br /> <br />i\D ~rl'l'~~J >:\ 1~<5U.~ <br /> <br />HEIGHT I ; _ <br /> <br /> <br />JOB ADDRESS <br /> <br />SU!lDMSION <br /> <br />WORK PROPOsED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE L <br />- <br /> <br />G2r BUILDING <br /> <br />OWner Phone Nu",ber <br /> <br />Owner Phone Number I "- <br /> <br />OWner Phone Number -I <br /> <br />I <br />: <br />~........"] <br />I <br /> <br />I ~D'i' <br />L <br /> <br />B <br />o <br />D <br />I~'\'\'i 2f-tlb( :t~;:l' <br /> <br />I SQ FOOTAGE ~L., <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />1$ \I.V~I~.IY <br /> <br />[$ <br /> <br />1$ <br /> <br />[$ <br /> <br />o GAS 03' ROOFING <br />FINISHED FLOO~ ELEVATIONS I <br /> <br />o <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Addross <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />VALUATION OF TOTAL CONSTRUCTION. <br />AMP SERVICE CJ PROGRESS ENERGV D W,R.E,C. <br />J>-1'-/) 1 ~~ ~ -g.b1i ttrl- Jlu~tL/'~L <br />/lR~ ..~~4- .. \~O Jl ~OP c s tJ'<\'tIb <br />VALUATIONOFMECHANICALlNSTALLA!tON cy< l"u-lA ~iir1~ ~ <br /> <br />SPECIALTY D OTHER M~, ,~- ~ oJ f ~- 01 <br />FLOOD ZONE AREA DVES DNO SW\ l) \'V \~ oJ <br /> <br /> mi I&.Y" e.~u.L'h~~ <br /> I f I)N I - FEE CURRENT V N <br /> License t# I C'rc..0515u~ <br />COMPANY <br />AEOISTERIiD VIN FEE CURRENT Lrl.!Ll <br /> Licen.. t# <br />COMPANV <br />REGIST~"'EO VI N F1:E CURRENT L!..!.!LJ <br /> LiCense # <br />COMPANY <br />REOISTERBD VIN FEE CURRENT L:ill!..J <br /> License #- <br />COMPANY <br />~!GI9'll3lED VI N . _FEE CURRENT Lrl.!Ll <br /> ubense t <br /> I <br /> <br />Address <br /> <br />PLUM!lI!R <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL ! <br />SIGNATURE , <br /> <br />Address I <br /> <br />~~H:A~URe I <br /> <br />Address I <br /> <br />RESIDI!NTlAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Allach (2) Plot PllIns: (2) sets of Buldlng Plans; (1) set of Energy Forms <br />Minimum ten (10) working days lifter submilllll date, Required onslte, Construction Plans, San~ary Faclllles & 1 dumpster <br />Attach (3) !lets of Building Plans; (1) set of Energy Forms. <br />MInimum ten (10) workIng days after submillal dale, Required onsite. Construction Plans. Sanitary Facililies & 1 dumpster <br />)(II commercial requirements must meet compliance, ' <br />Allach (2) sell of Engineered Plans. <br />. --FROP!RTY SURVEV l'1lCIuired for 811 NEW construction, <br /> <br />- <br />Dll'lICtIons: <br />Fill out BppllcatiOn completely. <br />Owner & Contl'llc\llr .Illn baCk of eppllcetlon. nOlerizlld <br />If over $2500, a N~t1ce of Commencement I" required. (AIC upgrad... over $5000) <br /> <br />- Agent (for Ih~ contractor) or Power of AUomoy (for the owner) would be someone wlIh notarized letter from owner eulho~,"g same <br /> <br />OVER THE COUNTER PERMITTING (From of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveylFoo1llge) <br /> <br />DrivewayS-Not over Counter if on public roadWays..needs ROW <br />