Laserfiche WebLink
MEMORY TRANSMISSION REPORT <br /> TIME :11- 05 —'09 14:37 <br /> FAX NO.1 :8137800005 <br /> NAME : CITY OF ZEPHYRHILLS <br /> FILE NO. 677 <br /> DATE 11.05 14:36 <br /> TO : R 97884901 <br /> DOCUMENT PAGES 1 <br /> START TIME 11.05 14:36 <br /> END TIME 11.05 14:37 <br /> PAGES SENT 0 <br /> STATUS 0050 <br /> * ** TX FAILURE NOTICE * ** <br /> 8)3 -780 -0021) City of Zaphyrhllls Permit Application _ � <br /> ,7 Pax - 81 -0021 <br /> m lr <br /> -_ Building Ooportet ..?. LI !C r <br /> Date Received / .f! Phone Contact for Psrm __ <br /> lttln- <br /> Owne Lit <br /> Name - eX(__�' t _ L,(/ /t -e- S _ Owner Phone Number <br /> - <br /> Owners Address I 3 / 4c/J` CS-L‘'6 79- <br /> _ Owner Phone Number I <br /> Fee simple Titleholder NomeL _ -, Owner Phone Number M - I <br /> Fee Simple Titleholder Address r 1 _ I <br /> JOB ADDRESS I �, r S �.._s Y� A1A1-7,-.,-- _...`.� _ Ml LOT M 1 I <br /> G� <br /> SUBDIVISION 1 .., I PARCEL IOMI _ <br /> (OeTA1Nan estop PROPERTY TAX NOT1ce) <br /> WORK PROPOSED NEW CON S'1 "R AOO /ALT Si 3N ' i MOVE �.. DEMOLISH <br /> 1 1 INSTALL I I REPAIR <br /> PROPOSED USE 1 1 SFR L__J COMM TH r-- 1 I O <br /> ER 1 .- <br /> TYPE OF CONSTRUCTION [ - 1 BLOCK I I OTHER - 1 <br /> FRA ME �_1 STEEL ` I <br /> DESCRIPTION OF WORK I H , ; ; 7' A / 7• ....I 4 ./' I <br /> 1 S SO POOTAGEI <br /> BU ILDIN G SIZE I HLIOHT r _J <br /> I 1 BUILDING {$ y T ( VALUATION OF TOTAL CONSTRUCTION T' <br /> I__ ELECTRICAL ` <br /> r$ I AMP SERVICE I I PROGRESS ENERGY ERY I I <br /> PLUM W.R.E.C. <br /> I I r31NC� _ <br /> I $ 1 GI?!- ✓�6 ;�. eLr�F '. -en — 04.-0 , £ e`3-, 1:L��� • . e Q. _ — 0 /2F:' <br /> r - <br /> MECHANICAL I$ VALUATION OF MECHANICAL. INSTALLATION S ''', ..._ • <br /> I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS I I FL000 ZONE AREA I Ives L_ INO <br /> BUILDER! COMPANY 1 <br /> S IGNATU RE <br /> R Y <br /> SIGNATURE <br /> - 6otar6REO 1 Y / N I rn6 ov#R6Nr — T - -y-7 - 1, <br /> � <br /> Add 1 <br /> 1 rsa9 License P <br /> SI EC TRIC E N ( ✓ I COMPANY [ , �f• ' - - - <br /> Realarr.Reo F - ' un RanlT Y / <br /> L,a�L iJ / {R — - I <br /> .__..._...._._. _ I License # ( <br /> PL <br /> 1 �' UMBER <br /> - <br /> _ „- .,,.,,_...�_- <br /> COMPANY I__ <br /> SIGNATURE Rccale <br /> rGR t:U 1�`v7 - I FEE CURREN <br /> Address 1 j I License 8 I <br /> MECHANICAL ( I �f 1' � ROMPANY I TC - /L -' A' 15 1 5 _.' r- L. _''c^ r� ._- v c,� - - ,/e <br /> SIGNATURE - - .- - -t- �- ) "1 --"`"--7-5.5-5-' <br /> r7 , -;;; 7 _ s SYER I Y / 'J 1 vs cu r 1 Y / N I <br /> Address 4 _ <br /> 1 J-1 f p <br /> { {{ — _ Lice„..# R R I N !I ) 2 c.? r c --1 L 6-• <br /> OTHER { CO <br /> SIGNATURE I REGIS Yeas., I Lt.: / N 1 re6 c■RRE, - 1r 1 Y/ N 1 <br /> Address _' . - 1 License # 1 <br /> RLsa:ma - nAL Attach (2) Plot Plenn; (2) eel. of Building Plans; (1) set o) Energy Forme; R -O -W Permit for new construction. <br /> Minimum: ten (10) working days after .vbmittel date. Reyuired onslte, Conatrvotion Plana, Stormwvter Plnns w/ Slit Fences installed. <br /> Sanitary Facilities 8 1 dumpater; Site Work Permit for suhdl0lslona /large projects <br />