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TRANSACTION REPORT P.oi /oi <br /> APR /23/2009/THU 08:39 AM <br /> FAX(TX) <br /> # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE <br /> 01 APR /23 08:38AM 817275479754 0:00:23 1 OK SG3 0437 <br /> —n 1.V..r Q 7Kl.fr:- �. <br /> 813.7600020 City of Zephyrhllls Permit Application it Fax-81 - 780.0021 / 13,180,03 <br /> Building Department <br /> Date Received 4— 7 _ ( 0 Phone Contact for P.armttttn • + 4 (41 444° - 41114 <br /> Ownet's Name 4 2 iP) . �- LL C. Owner Phone Number , r)-ti�Q — ..__..._61 <br /> Owners Address ( Pi4 `i .S- i, SV 11" J �� t F(' Owner Phone Number I I <br /> Fee Simple Titleholder NemerSPS ^f.,, I Omer Phone Number 1 1 <br /> Fee Simple Titleholder Address I -S7rN . 1 <br /> JOB ADDRESS 1 (L4 ()AU.. RUC/ , QS <br /> �/ " ] LOT I <br /> � 0 [ / <br /> SUBDIVISION i 1 PARCELID# t -1.' a1 � 1� 151 <br /> 0,eMM20 FROM PROPERTY TM NOTICE) <br /> WORK PROPOSED En NEW CONBTR I ADD/ALT 1=1 810N 1] MOVE [J DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE El SFR cin comm J OTHER L 1 <br /> TYPE OP CONSTRUCTION 11.1 <br /> W T BBLLOCC�K= I t FRAME [] STEEL p OTHER 1 t � , I <br /> DESOR X <br /> IPTION OF WORK J V W7 +1 a 01 14 , o`1 S F l`-' `i^'►T1' '`I j 3 0 <br /> f �► p •�fla '+ <br /> BUILDING SIZE q �� Sell FOOTAGE 1 40 HEIGHT I i 6011 V <br /> • <br /> 1;g3 BUILDING ri SS �q <br /> 1 ( VALUATION OF TOTAL CONSTRUCTION <br /> CM ELECTRICAL IS ' O I AMP SERVICE I1 PROGRESS ENERGY I=1 W R.E.C. <br /> PLUMBING (S I 3 P elA <br /> Q MECHANICAL IS I VALUATION OF MECHANICAL INSTALLATION (D' q Cti _ 4 ` zit:I- <br /> e <br /> D GAS =I ROOFING 1=1 SPECIALTY Q OTHER NO C <br /> FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA rlYEB ON S <br /> BUILDER COMPANY I �5 J-T1 1 t✓ I <br /> SIGNATURE `�9��� ResteTERE0 1 Y/ N 1 PEE CURRENT I, Y1 N' I <br /> ••MSS • 0 Ids (VS 4&ES W a:1'9 f Pt..31/ ees I GCrci nya I <br /> 11 ." ELECTRICIAN COMPANY I I <br /> / SIGNATU• REGISre.eo 1 Y/ N 1 rift summit 1 Y/N 1 <br /> ddress 1 ] •Ucense 0 I I <br /> PLUMBER COMPANY 1 I <br /> SIGNATURE _ REmsretEo 1_ Y I N J FEECURRENY I VIN 1 <br /> Address 1 j License S 1 I <br /> 11III ` <br /> ICA COMPANY I 1 <br /> REGISTERED 1_ YIN .1 PEE CURRENT 1 Y/ N 1 <br /> Cr i � Address I 1 License 1 I 1 <br /> U OTER COMPANY <br /> SIGNATURE REEIerEReo 1 1 Y/ N J PEE CURRENT 1 Yl N I I <br /> Address I I License! 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans: (2) eete of Bulking Plenz; (1) set of Energy Forms; R.O-W Pernik for new combustion, <br /> Minimum ten (10) working days after submittal date, Requited condo, Conskusrbn Plana, Stormeater Plane wl 81k Fence Initialled. <br /> Sanitary Facilities & 1 dumpeter, Site Work Permit for eusdMebns/large projede <br /> COMMERCIAL Attach (3) complete sets of Building Plena plus e Life Safely Page: (1) it of Energy Forme. R-O-W Permit for new construction. <br /> Minimum ten (10) woddna days after submittal date, Required aneke, Construction Plane. Sternswter Plans w/ Sts Fence Installed, <br /> Sanitary Paddled & 1 dumpster, Site Work Permit for all new projects. All conxnardal requirements must meet compliance <br /> SIGN PERMIT Attach (7)•sets of Engineered Plane, <br /> °PROPERTYSURVEY requited for all NEW construction. <br /> Directions: <br /> pin out sppaeaeon completely. <br /> owner & Cenaadw Sion back of application. noterbed <br />