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<br />~\~- <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhflls Permit Application <br />Building ~ <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Add,... 5439 ~~ <br />Fee Simple TItleholder ~ I <br /> <br />~ . ""'..1. - - <br /> <br /> <br />~ . <br />Owner,P~ Humbtr <br />i --......-1 <br />, 33634 I <br />OWner Phone Humbtr . <br /> <br />Phone Cont8at for <br /> <br />Owner's Name <br /> <br />Fee Simple TItleh0Ider ~ , <br /> <br />JOB ADDRESs !3lD \ c6 'Sy,.~ \\1-) ~LDDf <br />, Silverado ] PARCIL IDtJ I <br /> <br />NEWCONSTR B ADOIALT D <br />INSTAll REPAIR <br />PROPOSED USE . Cil SFR 0 COMM 0 <br />TYPE OF CONSTRUC11ON CJ BLOCK 0 FRAMe 0 <br />DESCRIPTIONOFWORK [. ~ Single Family Residence <br />I. , :-0/ I I I I <br />BUILDING SIze IJ 0 X. Lj 0 8Q FOOTAGE I ~.3 ~1) <br /> <br />SUBDIVISION <br /> <br />LO'U [ s: <br /> <br />4-26-2.1 - O~ 0 -lJ020b - vrBo <br />(OIITAlNID I'ROM 'ROPIIlTY TAX N011Ca) <br />SIGN 0 MOVE D <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />HIIGHT hq,s-J <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />D MECHANICAL <br /> <br />o GAS~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />l$~ <br />(i:l-l~OO,oO <br />1$ t..f<t;Z~. 00 <br />($ S \. 3 4 . GO <br />[* ~t..fd-3'100 <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />101. DO I I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />PROGRESS ENE~GY / . 0 <br />~O\-U " ,'t%,ag; <br /> <br />WR.EC. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />~NO <br /> <br />Addru. <br /> <br /> <br />COMPANY I Windward Hanes <br />MGIITIRID I Y I N I FEE CURRENT I Y IN I <br /> <br />3634 LloInse,# I CBC125nq 10 <br /> <br />I S & S Electric Co. <br />I VI N I FEECUMIlNT I Y/N <br /> <br />U~S.# lP.Rnnnn?nA~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE . <br /> <br />Addr... <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Addres. <br /> <br />P11JIiI,N."'$ n-f ~~ <br />I VI N J . FEEculfAeNT I V/N I <br />Uoen.. # I c Pc.. OS "7 5 CJ if <br /> <br />. <br />Airtron .H~t1ng and Cooling <br />r VI N I FIEEOUMENT . I V/N <br /> <br />,U~se# U.CAC057517 <br /> <br />- <br /> <br />--.J <br />I <br />, <br /> <br />I/IECHANICAL <br />~IGNA TURE <br /> <br />Addr... <br /> <br />)THER [ <br />;IGNATURE <br /> <br />Add,_ [ <br /> <br />tESIDENTJAL <br /> <br />COMPANY <br />MGIITIMD <br /> <br />VI N <br /> <br />Fee CUMSNT <br /> <br />V/N <br /> <br />Ueen.. # <br /> <br />AttIIch (2) Plot ...."., (2) ... Of IlufldJng Plena; (1) .. of IIMtsw JIonns . <br />M1n1mul'l'l tin (10) wortcJna ~ lifter aubmlttlil cJete. ~equhd on...., Conetruotlon PI.na, Sanltllry ".e11lt1ee & 1 dumpster <br />Attaeh (8) .. of 1IuJIdJnI....... (1) .. Of aMrgy trorm.. <br />MInImum tin (10) warJdno cMY811fter 8UbmItbI1~, ~ ontlta, Conetruotlon Pl.n., Sanlt8ry ...e1H.... & 1 c1umpster <br />All COl\IIIWlIl*' ~ must m_ oompJlanoe. <br />AtIaCh (2) .. or BnaInencl Plene, <br />~ 8U"WY teCIUINd for III NIIW 00ftItru0Jl0n. <br /> <br />Irectlon.: ~ ~ <br />Fill out appllCltfon CClI\'IPIItIIty. <br />Owner & Connceor elan... of ~, notMzed <br />If over $2800.. No6oe ofCOftlfi~ 1e.......1Nd. (AIC...... OWl $8000) <br />Agent (for the ~ or Power of AtlDmey (for the owner) WOUld be 8OIMOIIe with notarluct letter from owner luthorfzlng 11m. <br />VER THE COUNTIR '.....lfllNG (Front Of App/IClItIon Only) <br />Reroofs s.w.. 8ervIoe lJPGNdea AJO <br /> <br />:OMMERCIAI. <br /> <br />IGN PERMIT <br /> <br />- <br /> <br />IIenoeI (PIot1SurveylFootBge) <br /> <br />Drivewaye-Not over CcluntIr If on public roadways,.needs ROW <br />