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<br />~\~~~ <br /> <br />~1 ?J5j <br /> <br />City of Zephyrhllls Permit Application <br />BuRdIng DerNit1ment <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />-'5 <br />OWner,Pho~ Number <br /> <br />Owner Phone Number I <br />.! 33634 I <br />-' Owner Phone Number <br /> <br />Owner's Name <br /> <br />.;21~ <br />I <br />I <br />I <br />I <br />I <br /> <br />Owner's Address 5439 ~ Cntr <br />Fee Simple TItleholder....... r <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleh0Ider ~ I <br /> <br />I BCD l \.\ S~d.-t 6 \Ott Loop <br />I Silvera.:b I PARCEL.I <br /> <br />B <br />o <br />D <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />PROPOSED USE CiI <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I <br /> <br />BUILDING SIZE 140 i-Oil <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL.T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />o <br /> <br />DEMOLISH <br /> <br />Q:>nstruct Single Family Residence <br />X;.> DIt I SQ FOOTAGE I D<2lD Q3 I <br /> <br />o <br /> <br />HEIGHT ~ I <br /> <br />BUILDING <br /> <br />/$ ~\ \ V \3 <br />o ELECTRICAL [$ 19 ,rz ct ~ <br />o PLUMBING 1$ '7 D 5 :;) <br /> <br />I <br /> <br />o MECHANICAL 1$ I J sSV <br /> <br />o GAS 0 <br />FINISHED FLOOR E~ATlONS I 'C1JJ. I 0' <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />. [gJ <br /> <br />W.R.E.G. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL. TV 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />'~O <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY I Windward Hanes <br />RI!GI8T2RI!D I Y I N I FEE CURRENT I Y I N I <br /> <br />3634 Ueen.e.# I CBC1252865 <br /> <br />I S & S Electric Co. <br />I YI N I FEECURRENT I Y/N <br /> <br />Ueenee# lP.Rnnnn?n~~ <br /> <br />I P] nrhhA,..~ nof !=:1:JCit;1""'" <br />I Y I N J . FEE CulfAENT I Y I N I <br /> <br />Ueen.. # Ie f(!. OS' "'1 5' 0 Lf <br /> <br />- <br />Airtron .H~ting and Cooling <br />r YI N I FEECURI84T I Y/N <br /> <br />Uoene.# li~057517 <br /> <br />- <br /> <br />---1 <br />I <br />, <br /> <br />ELECTRICIAN <br />SIGNATURE' <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICA <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />RlGlITIIqD <br /> <br />YI N <br /> <br />Fee CURRI!NT <br /> <br />Y/N <br /> <br />Ueen.. # <br /> <br />RESIDENTIAL <br />COMMERCIAL <br /> <br />Atflleh (2) Plot PIMe; (2) ... of Building Plllnl: (1) let of IMrgy Porml <br />MInimum tin (10) WOl'ldng daye lifter IUbmItfIII dele. f1tequlred onaIte, Conltruotlon PI."', SIInltary fllcllltI.. & 1 dump.ter <br />AtIiIClh (I) .. of BUIIdIna ,...".; (1) Nt Of .'*DY Porml. <br />M1n1mLm ten (10) worldng daye der IUbmItlaI dlte. Ftequlred on"', Conetruollon PIa"., sanitary fllcllI6.. & 1 dump.ter <br />All 00l'IlIMr0IIII NqU/remenf8 muet meet oomplllnoe. <br />AtfIIch (2) .... of EnQIneered Plene, <br />....PN)IIBM't aURVEY ~ for aU NIW conetn.IcIIIon. <br /> <br />- <br /> <br />SIGN PERMIT <br /> <br />Dlr.ctlons: <br />Fill out appllcatlon completely. <br />Owner & Contr8cttJr IIan ... of appllcltlon, notarlzed <br />If over $2SOO, . NotIoe 01 Comrnenoem.nt Ie required. (AIC lIpQI'IdM over SSOOO) <br />Agent (for the oontnlclcr) or PCMW of Attorney (for the 0WMr) would be someone wlth notarized letter from ownar aulhorlzlng ..me <br />::>VER THE COUNTI!It ~NQ (Front of Appllcallon Only) <br />~eroofs Sewers Servloe UPG\'8de8 AlO flencae (PIot1Survey/FooflIge) <br /> <br />Drlvewa~ over Counter If on public l'Oadways..neede ROW <br /> <br />_. l_ <br />