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<br />~\~~- <br /> <br />City of Zephyrhllls Permit Application <br />BuIldIng ~ <br /> <br />Fax-813-76D-0021 <br /> <br />Date Received <br /> <br /> <br />2. -7-D~ <br /> <br />Phone ContMt for <br /> <br /> <br />.os <br />Owner.p~ Nume.r <br /> <br />Owner Phone Nume.r I <br />'133634 I <br />Owner Phone Nume.r <br /> <br />Owner's Name <br /> <br />LOT' <br /> <br />0>..1 ~ <br />I <br />I <br />, I~ <br />I \ ~\k~ <br />I <br /> <br />Owner's Add,.. 5439 "'-'-cnt Cntr <br />Fee Simple TItleh0Ider ~ I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleh0Ider AcWI... I <br /> <br />'3l90\Q CSh~ ~U'~ ~ <br />I 8il veract> I PARCEL _, <br /> <br />B <br />o <br />CJ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />N:YfJ//tJ.. T <br />REPAIR <br />COMM <br />FRAMe <br /> <br />o <br />o <br />D <br /> <br />4-26-~1_ OOloO- ~oa- 00\ a <br />(OBTAINED "ROM PROPERTY TAX NOTICa) <br />SIGN 0 MOVE 0 <br /> <br />OTHER I <br />STEEL 0 OTHER I <br /> <br />DEMOLISH <br /> <br />~ <br /> <br />PROPOSED USE : X: <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK , ~ Single Family Residence <br />. .....,"'1 <br /> <br />l55' IX '-iv' I 8QFOOTAGE I 3l ~1 <br /> <br />1$ ~~,2# ,D1) I <br /> <br />Lulll~.DO I <br /> <br />1$ ~&.- 52 .0D I <br /> <br />1$ ~l)q5,oD I <br />o GAS .~ ROOFING CJ SPECIALTY D <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE MEA <br /> <br />HEIGHT I 8'1 \. <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING <br /> <br />d ELECTRICAL <br /> <br />cz:( PLUMBING <br />~ MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.EG. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />OTHER <br />DVES <br /> <br />~O <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY I Windward Hanes <br />RBGIITIMD I V I N I FEE CUMI!NT I V IN I <br /> <br />3634 Ueen".llI I CBC1252865 <br /> <br />I S & S Electric Co. <br />I VI N I "EECUMENT I V/N <br /> <br />Ueen..llI l~nnn?nA~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />P}1J1tlbaas n-f ~Jabmpn <br />I VI N.~ . ..eEoulfReNT I V/N I <br />Ween..llI le,.<!.. OS ~ so tf <br /> <br />- <br /> <br />~r~~~~ <br /> <br />Ueen"llI liCAC057517 <br /> <br />- <br /> <br />-1 <br />I <br />I <br /> <br />COMPANY <br />MOIITMIO <br /> <br />I <br /> <br />YIN <br /> <br />I'I!I! OUMIINT <br /> <br />Addreas <br /> <br />V/N <br /> <br />Ween..llI <br /> <br />RESIDENT1AL <br /> <br />Attach (2) Plot ...... (2) ... of BuIlding Pllln.: (1) Nt of I'*1W JRonn. ' <br />MInImuM ..., (10) WOI'ldncI day8 .,.., eubmlttlil dln. JItequIred onll., Conettuctlon Pl.... Sltnltary ".c1IIt1.. & 1 dumpeter <br />AltiIOh (I) .. oIlIuIklInG fIII8IMI (1) eel of bergy JIorma. <br />MInlmum ..., (10) WlIItdng daya ..1UbrnItfaI date. ~ ontlta, Oon.truotlon Plane. 8enltery IIacll1tee & 1 dumpster <br />All 001\_" ~ muet meet ClOft'lp/lMoe. <br />AIiIleh (2) .... of EnaJneered PI8ne. <br />au ~/ V 8UIWEY I'eqUJNd for aU NIIW conetNaIIon. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out appllcatlon compIe6eIy. <br />Owner & Oontrador Ilan '** of aPl*atlon. notarlzed <br />If over $2SOO. . NotIoe of Comtnenoement I. NqUIred. (A/C uparadM OVW taOOO) <br />Agent (for the contra*) or Poww of Attorney (for the own.) would be eorneone wlth notarlzed letter from owner authorizing ..m. <br />OVER THE COUNTI!R Pl!MlmlNO (Front of Application Only) <br />Reroofs s.w.. Servloe UpgnIdes Ale Fences (PlotISurveylFoofage) <br /> <br />Drivewaye.Not 0VfIIt Colmer If on pubIJc roadways..needl ROW <br />