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<br />~\~~- <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhllls Permit Application <br />BuIldIng Oeptwtment <br /> <br />Fax-813-780-0021 <br /> <br />ic: ,; <br /> <br /> <br />.." <br />Owner.P~ Number <br /> <br />-i 0....--1 <br />. 33634 I <br />OWner Phone Number <br /> <br />Owner's Name <br /> <br />i <br />I <br />.' I <br />~h~IA,Lff' W ~ I LOT. I;;L I <br />J ~6-21- OOl, 0 - DO;),C(} - OO;;;LO I <br />(OBTAINED I'ROM PROPEItTY TAX HOnee) <br />CiJ NEW CONSTR a NXJ/ALT D SIGN D MOVE 0 <br />D INSTALL REPAIR <br />PROPOSED USE Cil SFR 0 COMM D O'niER I <br />TYPE OF CONSTRUC11ON ~ BLOCK l2:'[J FRAMe D STEEL D OTHER I <br /> <br />DESCRIPT1ONOF_ ~~ Single Family Residence <br /> <br />BUILDINGSIZE ~.)(t I IQFOOTAGEI Ao03 I HEIGHT I <br /> <br />,. B \ (0 f6 <br />(ilP1 q6 <br />~ 'l OI)J-- <br />1$/~sV <br />o GAS '0 <br />FINISHED FLOOR ELEVAnONS I lO9 . ~ <br /> <br />Owner's Address 5439 RAM~ <br />Fee Simple TItleholder ~, <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder ~ I <br /> <br />~f n.~~ <br />I Silverado <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />o <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE I SO <br /> <br />CJ <br /> <br />PROGRESSENEROY <br /> <br />o WREC. <br />/ <br />~OC. <br />RD u...::. ,- ~~ <br />~bo @- <br /> <br />VALUAnON OF TOTAL CONSTRUCTION <br /> <br />o <br />D <br />D <br /> <br />ELECTRICAl <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUAnON OF MECHANICAL INSTAlLAnON <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />PNO <br /> <br />Addr... <br /> <br /> <br />COMPANY I Windward Hanes iLl.. <br />RlGBTIRID I (j) N' FEE CURRENT I ~ N I <br />Ueens..1II I CBC125nq 10 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />3634 <br /> <br />ELECTRICIAN <br />SIGNATURE . <br /> <br />Addre.. <br /> <br />COMPANY <br />............D <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Addre.. <br /> <br />V1ECHANICAL. <br />~IGNA TURE <br /> <br />Address <br /> <br />Uoenae # <br /> <br />)THER <br />>IGNA TURE <br /> <br />Address! <br /> <br />tESIDENTlAL <br /> <br />COMPANY <br />~ <br />I <br /> <br />Fee CUMINT <br /> <br />Ueen.. # <br /> <br />ION PERMIT <br /> <br />AttIch (2) Plot ......, (2) .... Of IIuIIclIng P"na; (1) Hi Of IMrDY lRoJma ' <br />MInImum .., (10) worldng daye .., aubrnlttal cs... f1tequfred on..... Conatl'uotlon Plen., SIInltery 111011",.. & 1 dumpster <br />Attach (.) .... of IklIdtnsi ......, (1) Nt or .nergy IIonN. <br />M1nlnun .., (10) warIclnG daye .fIIer tubmlttlll daila, ~equlNd 0MIte, Construction PI.n.. Sanitary 1II10111t1.. & 1 dumpster <br />All fIOIIJnW.. NCIUI~ muet meet complltlnoe. <br />AtliIch (2).... or E~ ....na. <br />~ 8U1WBY...... for III NIIW 00l'IIIl'UcJlI0. <br /> <br />~OMMERCIAL <br /> <br />Irectlons: <br />Fill out applloatton COI'IIpkIilly. <br />Owner & ContrIcIOr alan blIoIt Of~, notMzed <br />If over $2!00, I NolIoe oICoMn~ I. NqUlracl. (AIC UP....... over $8000) <br />Agent (for the contnI*, or PGwer 01 Attorney (tor thl owner) would be eomeon. with notarlzld tetter from owner lulhotlzlng ..me <br />VER THE COUNTI!fIt PlIMIlTTlNO (Front Of Appllcetlon Only) <br />Reroofs Sewera 8ervloe UpgracIea AlO IIencH (PIotISUrveylFootage) <br /> <br />Drivewaya-Not over Oounler If on publlo roadways..needa ROW <br /> <br />_M_ <br />