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<br />~\~~- <br /> <br />City of Zephyrhllls Permit Application <br />BuHdlng OepII1ment <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Address 5439 ~matt cntr <br />Fee Simple TltlehGlder N_l <br /> <br /> <br />-'II <br />Own".p~ Num"'r <br /> <br />Owner Phone Num"'r I <br />i 33634 I <br />OWner Phone Num"'r <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder AcIdNee I <br /> <br />13110$3 S~J\tv#- Loof <br />I Silverado I PARCEL.' <br /> <br />E3 <br />D <br />D <br /> <br />LOT # <br /> <br />cY <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />4J <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />8FR <br />BLOCK <br /> <br />ADDIAJ... T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OFWORI( ~truct Single Famil-. Residence <br />BUILDING SIZE L ~J.I (ii i_3D I <br /> <br />1$ 50, '1 YC;-,OD <br /> <br />[$ ys-- c:> 3.00 <br /> <br />~L2l'1.00 <br /> <br />1$ S~oO.Q\> <br />D GAS [txJ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />SQ FOOTAGE I <br /> <br /> <br />HEIGHT L.)1' <br /> <br />- <br /> <br />o <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />o <br />~DtD. I I 2-<J~ <br /> <br />W.RE.C. <br /> <br />VAJ...UATlON OF TOTAL CONSTRUCTION <br /> <br />D <br />o <br />o <br /> <br />ElECTRICAJ... <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIAJ... TV D <br />FlOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />~NO <br /> <br />Addr... <br /> <br /> <br />Hanes <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE . <br /> <br />Add,.... <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Add..... <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Addr... <br /> <br />RESIDENTIAL <br /> <br />Att8ch (2) Plot PIMe: (2) ... of BuildIng PI.nl; (1) lit of IIMl\1Y Fonnl <br />MInlmurtI tM (10) worIdng dllY8 .,. IUbmltllll date, "equlred onll., Conlttuctlon Plln.. SIlnltary FloIlltl.. , 1 dumpster <br />AttiIoh (I).... ot.UItCIfng IItIMII (1) Htoflnergy ~ <br />MInimum tM (10) wortclng dllY8 8fter IUbmltllll d.., "equlNd on...., Constructlon PI.nl. Slnltery Faollltl.. , 1 dumpster <br />All 00I'rIIMr0IlII NqUlrementa mutt meet compliance. <br />Att8ch (2).... of e~ PI8n8. <br />'""""PfIlOII aulWaY required for .. NIW ClONtNoIIon. <br /> <br />FL34677 Ueens. # - -.J <br />J COMPANY ViN I <br />MQII'raMO FEE CU,.RaNT V/N <br />-- 1 I <br /> UCIl'lIe # <br /> w <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Olractlon.: <br />Fill out appllC8tlon complel8ly. <br />Owner & ContrlIcIior IIgn ~ of 1PPUcatlon. nobIrlzed <br />If over $2!100. . NotIoI of Comtnanoement I. NqUll'ld. (Ale....... OVW $8000) <br />Agent (for the oontr:lcW) or Power of Attorney (for the owner) would be eomeone with notartzed IettIr from own.r authorizing ..m. <br />OVER THE COUNTER PUMlTTINO (Ftont of Appllcatlon Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PIot1SurveylFootBge) <br /> <br />Drlveway8-Not over Counter If on publlo roadways..needs ROW <br /> <br />~~-_.- <br />