<br />02/28/2008 11:23 FAX 7275300045 APG ELECTRIC
<br />FEB/28/2007/WED 09: 30 AM ZEPHYR.HILLS BUILDING FAX No, 813-780-0021
<br />613-780-0020 CI1y o"ZePhyrhil~ ,Pennit Application
<br />, llullCllng Depll/'tment'
<br />
<br />'a\JDD!VISlolf, '
<br />
<br />WORKPRDPOSED 8
<br />
<br />PROPOSED USE' . D
<br />TYPE OF CON5i1t,:,cnPN 0
<br />
<br />
<br />Phone Con~ ~r "'""itll
<br />
<br />
<br />", . : ." ~,\ '.
<br />owner Phone Number
<br />, OWll8r~e ~~r l
<br />
<br />o-ea' PtKme NUni~r L
<br />
<br />, p~ Received
<br />
<br />JOB ADDRI&SS
<br />
<br />.2 -,;1./.1-5 ~1Al:.3 as-/{? , '
<br />
<br />LOT" I
<br />
<br />'P~I!IL I~ras;...(' 6" -dll- t::1cdi'P -/~~.o-~O&o
<br />, (GITAlNIlD fllOll pItOPERTYTAXIl~ .
<br />n7( NJO/M..T c:r. SIGN p MOve 0 DEMoLiStt,
<br />t:::I 'RePAIR
<br />0," COMM 0 OTHliR ,I
<br />EZf 'FRAME ,0, srEa CJ"I'Ht!R I I
<br />
<br />,0 BUILDING
<br />"GiJ : r:lJ!CTRICAL
<br />0 pL:UMBING
<br />'0 MECHANICAL
<br />
<br />'t.'
<br />'''?; f-d 'YsQ~kGE
<br />
<br />I' ;(, 5'a>. ..~
<br />1$ ','
<br />'r'
<br />1$
<br />t:J GA~ ' Q
<br />, FINISHED FLOOR'ELEVA';ONS I
<br />
<br />oe.sCRIPllON ~..woRK :
<br />."'ILDING 5.tE ,17)'>'
<br />
<br />ROOFING
<br />
<br />I ' VAL.UATlQN OFTOTM.. CONS"muCTiOJl!
<br />~<"I'1tF"
<br />I.. AMfI si:Rv..cE,
<br />f '
<br />r
<br />D
<br />" I
<br />
<br />o
<br />
<br />PROGRESS ENERGY ,
<br />
<br />o
<br />
<br />W.R.E.C,
<br />
<br />. .Addre.
<br />
<br />
<br />SPECIALTY 0 '
<br />FLOOD ZONe AREA
<br />
<br />CJ"I'oHER
<br />c:iYE~
<br />
<br />IIUILPI!R ,
<br />SllJNATl.ll\E
<br />
<br />VBI.JWTR1CIAN
<br />q, SIGNATU~
<br />
<br />I
<br />!
<br />]
<br />I
<br />I
<br />I
<br />"
<br />J
<br />I
<br />
<br />".IIIIIl!"~11I11 .. . I J I 11 III 1111 11111 '111111111111111 '.'IJlIIIIJlItJIIIII,"IIU"UIIUllJlllliUIITIIIII [(liOn
<br />.,u:SlDerrlAL AlIiac:h (2) I'lot PllIllI.; (2)Set5'of Bui/dlne PIn: (1) set of Energy FO~ R-O-W Pmmlt for neW mnslnlcIion. "',
<br />, Mlnl_llln (10) Working lIlIys lIf\lIr lIIII!mllllll date. Required onsll8. ConrilnJCtion Plana. 5t11rmw..r Plans wi Snt FenCe ilI$talled.
<br />Sanl!ary Facilities & 1 dumPst&r; 511e Work Pellllit for subClMslonwlmge prulects' , ' .
<br />Alllloll (3) ggmplete SIlls of B~ l'lans piUl; a Ute Safety page; (1) set of EnIlgy Forme. R-Q-W Permit for neW consflUCtioll.
<br />M/liilllum 111II (10) lMlrldng day5' atblr IIllixnItI8I dllla. R8qund ClfIlIite. Construction Plans, StDrmwaler Plans wi SUtl"ence Irisl8lled.
<br />S8/IlIarY Facll!llN &. 1 dump.r. Site Wllfk Permit for aU nw pnlJeds. All ClImmerlllal req~enll; mwl meet compfilJnl:8 ,
<br />SIGN PERMIT AItedI (ll) sets of &ngineoirIld "lans.' .
<br />, , ~RoPERTY SURVEY requiredforall NEW eonsliuc:Uon., ' '
<br />., HI~,lil ~I ~IJ III 1I111l1...1I11! II ~ 111111111I,111111 ~,II1~ 1111111 i ~.11I1I1111111 J 1111':111111111 11111111 III, 11I1I1II11,1~lli II illll~ ii .111 illllllllll
<br />
<br />, Fill oul eppIicllUon oompleJely. . ' .' :. . . . . ,
<br />OWner.a. Conlradot Sign I!&d< 9f appUcalkin. IIlIIaI1zed ".
<br />" aver ~a, I! ~ of pammenll8"l"nt Ie r8qU1rad. (AIC IIPGntdes ~ $11000) ,
<br />"'! _I (fc!r Ihll! ~tntctor) or P~'" of IillDmBy '(fOr lhe oWner) would be __ with "':'1arlz8d IelIIIr fto..m -- autholrililflll ..m.
<br />,ovER1'HI!CouNrERP~rrnNG (FrontofAPpllcalionOnly),' ,.' ,
<br />. RIOf'DCOtia. 51_elS " F..Mce~PDl'!ldes ,AIC Fences ~101l~1~lage)
<br />
<br />AdCIres$ 4825'
<br />
<br />;~~"I'.',
<br />
<br />, ~diesa' I
<br />"M6CtfANK:AL [' ,
<br />~JGNATURIi
<br />,~~,,;,~ I'
<br />
<br />~:::tuRE I
<br />.. MdfMli I
<br />
<br />FEIi CURREflT
<br />
<br />, L...YL!W
<br />
<br />, 'LIcense" I'.
<br />
<br />r ffi ~ Electdc. ~~~ . .
<br />,'. Y' N I ... CUllftENT , L....:!l.!':!..
<br />, UCIIllSd' IEG'O~o6486'
<br />
<br />.',
<br />
<br />COMPANY
<br />IlEGISTI!AI!D . I. Y I N
<br />db.' LlcenS8#1
<br />~ANY'I' '(',q,s~v .?7~LL..
<br />~ . _ I N 1 i'leClJA..-rr.
<br />I . .~.' L
<br />
<br />~:
<br />
<br />, I
<br />
<br />CoMPANY
<br />REGI~
<br />
<br />I ..' '
<br />I VI N
<br />
<br />FSi CUR~i~
<br />u~, t",
<br />
<br />I...1.!!LJ
<br />
<br />, "
<br />
<br />COM,MlftCJAl;
<br />
<br />'Drf"~llMlrCOUlller if on public ~.;n....ds ROW
<br />
<br />, .
<br />- --------
<br />
|