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JUN 02 - 2010(WED) 13:37 Tri- County Electric, Inc. (FAX)7277917396 P. 001 /001
<br /> JUN /02 /2009 /TUE 01:39 PM ZEPHYRHILLS BUILDING FAX No, 913 - 0021 P.001 /001
<br /> a13aeo -002o • City of Zephyrhills Permit Apt • . • • ....,, Fiel eisae' • • 1
<br /> ' .B Depsrtmeri • Dale Received -.i't : • ' Phan. Contact for ittl Mr - O,'4f
<br /> Owner's Nine M /� I _dIY h , •' - : �''. ; =
<br /> •
<br /> Owner's Address •. G/ / Z..4 ,v/i . 4, - Se c i.)gdia • •' " Ownei Paine Number 1 • •
<br /> Fees $Imp!. Tltteholdpr Nems ( 1 Owner Phone Number ' ! ' . • • •
<br /> Pee Simple Titleholder Addrea I
<br /> JOB ADDRESS I . 3 805 �I9 �/r s �frf a .' . I .. LOT r,, 1 . ". • • SUBDIVISION . . PARCEL IDO 1 ... ..
<br /> . - • • ' (08TAINao PROM MODEM TAX NOTICE) .
<br /> WORK PROPOSED . . , . R , NiW CONSTR ADD/ALT ^[ , SIGN Q ' ' MI • OEMOLIBH .
<br /> , INSTALL 8 • ' REPAIR '
<br /> PROPOSED USE • 0 ; SFR , J p oy COMM ' (-i.: • OTHER 1
<br /> TYPE OP CONSTRUCTION Q • BLOCK • D � FRMAE , = STEEL 'Q l 1 •
<br /> DESCRIPTION OF WORK . ' .Z te.R I O'fL /c
<br /> . eW w fi7 0 - '/1J 5 . I • • BUILDING SIZE I 18 • FOOTAGE! 73 / 1 HEIGHT 1 - : —..
<br /> ..,• 11!11111 11,1 lil,n.t .,,11111.,.1,..1111111 11111 111111111
<br /> (=BUILDING 10
<br /> J OZ, Sp ' VALUATION OF TOTAL CONSTRUCTION •. .
<br /> •
<br /> =ELECTRICAL s AMP SERVICE ' • Q ' PROGRESS ENERGY : Q ; , W.R.E.C.. '
<br /> =PLUMBING . S. . 1 • ' • 6 C • • •
<br /> QMECHANICAL 18 1 VALUATION OF MECHANICAL INSTALLATION . 3 P
<br /> =0" Q ROOFING Q SPECIALTY Q OTHER
<br /> FINISHED FLOOR ELEVATIONS . ( FLOOD ZONE AREA , .• OYES .' • NO
<br /> BUILDER " COMPANY ! P O O A P N I ' t T. , ' a I)1 I ' D I YI .Z- I
<br /> SIGNATURE . �q • '� �1 —was' rmalneRfo • • J tee =Ms l Y / N ( .
<br /> Address MZ!*�:71iru !!� a E L .. , ' Lb .&
<br /> enu0 I CC I 574°15-6- • . I
<br /> . COMPANY ' ! / °Z G"or C tlJer I .
<br /> SIGNATURE ' /'7 • Re01eTERED " I N 1 . reECuam 11• YIN J,
<br /> Wei La •' • l ! N cMP A • ?..'7eb/ LieenesI I © 64- -I .
<br /> � - ,
<br /> r COMPANY ! • RE • , • RES15Tepreo L Y/ N . 1 FOR COMMA, J Y I W 1
<br /> nee I Llcerfas 0 I I
<br /> COMPANY
<br /> } . Arocromm . ,. 1 YIN 1 : • Ira y:4mm ' J Y / N l ,
<br /> <rs s ( 1: LINT..: I
<br /> ,,ate r : 1.
<br /> OTHER COMPANY' '
<br /> SIGNATURE . warm= ' • Y / N J PEE CURws :'1 Y N I
<br /> Addnes 1 i License I ' 1
<br /> RESIDENTIAL Mesh (2) Plot Plans; (2) ate of SuNdblg Plans; (1) set of Energy Fors;. R-O-W Permit for new canstruadon, •
<br /> Minimum In (10) working days after submittal dale. Required melt, Construction Plena, Edna* NM w/ SIN Pence bwtelled,
<br /> ' Senitery Faraillea 8 1 dumpeter, 8Ne Work Pena tor .0 vlloMIlrge pmjeefs • : •
<br /> ' COMMERCIAL Attach (3) complete sets of Building Plans plus a LIfe.Bafsty Pegs; Meet of Ena►gy Pones. R.O.W Plonk for new oonettuarbn. ' •
<br /> ' Minimum In (10) wallop days slier submittal date. Rsqulmd onsets, Construction Plena, Stomewler Plans w/ Sit Pena Installed.
<br /> • Sanitary Facilities 81 dumpeter. Site Woitc'Petmf for all now projects. All oommardsl requirements must mest'rampISn0s •
<br /> YIGN PPRMR Allah (2) alts of Engineered, Plano, . .
<br /> •"•PROPERTY SURVEY rpulmd for bet NEW Panivueu0n. . . • . • • . .
<br /> Direction: •
<br /> • Fill out spoliation completely. •
<br /> ' Owner a Oonfractor an beck of eppliostlen, notated • .
<br /> If ever 63500, a Notice of Commencement Is requ INC upgrades over 81500) ' ` •
<br /> Agent (for the eontsator) of Power ofAttorney (for IPs owelsO•would be goinoan° wan nolsrtead khan from owner authorizing same
<br /> OVER THE COUNTER PERMITTING (Front of Application Only) .
<br /> • Ramble If mangles Sawa ' Berets Upgrades' NC • Fences (PleNBuvay/Footage) ' • , ; '
<br /> DMewsys -Not over Counter If on public roadways..neede ROW
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