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SEP /28 /2010 /TUE 10:48 AM The Drain Team FAX No, 7275737638 P. 001 /001 SEP /28 /2009 /MON 09:50 AM ZEPHYRHILLS BUILDING ?AI No. 813 P.001 /001 ei3- 7e0-0o2o . ' . City of Zophyrhille Permit Application . ' Fe*a1aae0 - 0o21 , Binding Department . • n •Deli Recslved • .. 2 40 • • Phone Colllael for Pirmatin : • (' : 49Z ... • - 7 v • Owner's Name, •( /1/ , "f0Sr - 5 - --S 715 ... ' Owner Phone Number • - . 8/ •3,;7f1a b'/g6 Ice yr� owner's Aedr::s I . t.1.14.4 /fl %r; paitiY R • i4;7 fT Okvner Phalle N■mber • Per Simple Tit eholder Name .. . . 1' gwner.Phonf Number I• . • • ' • Pee Simple Titleholder Addrese :.. ' "' • • • • • . . • " ' : , . y JOB I -7 ‘4iSr •,pilaf ..'4r: . A . ei . �0 :. .e i • •3irrz LOTa .( ' • sump) mow I . • . ' • 1 i .', .` ... ,•. :Lai.. , • • _ 'OMAR= FROM PROPeRTYYAXNOWC61 ' . • — WORK PROPOSED NON CoNSTR DMALT .. 1 : 910N • .' • El O DEMOUSN ' . • • INSTALL ® AO REPAIR: PROPOSED U8E . • •.• . [r] • ' SFR . E:•: COMM = • OTHER ( . • . • ' • . , • (, • • TYPE OF CONSTR ONSTRUCTION I= ; BLOCK 0 ' FRAME • • , , .: ' STEED �' 0; ::. ; : 1 • • • DESCRIPTION N OP W I• OIU< . : /? &V ) t • Is .1 i 14 .80 t -6'ad' .G- 7/a Q • .' I BOILDING alze I . • • I' SD FOOTAGE) :• • •.. • I :. • HEIGHT'. I • •1 . • BUILDING • S 0 7.5 ?; pt, I ". VALUATION OF TOTAL CONSTRUCTION : , . • • lELECTR19AL IS 1 AMP'BERVICE • ' • n PROGRESS ENERGY Q • • W.R.E:C, Q PLUMBING • ' IS : , • ,' I . - . . 6 ; `!�!�✓ its'! 1. • • S VALUATION OF MECHANICAL INSTAUATION • • GAS ' ROOt=IN4 'am SPEC1AL71r' ' QTHER • ^ h f J t•tteeletics... k�CFY soli . ' . evil— FINISHED FLOOR ELEVATIONS FLOOR AREA '• =YES, .. NO • • • BUILDER { �� • C M %P ------"-- 1 - /• - 7 •;: ‘• 574 ....' 1. • SIGNATURE 1iEauTaheO I' Y I N n I L I . I •, I 7 FEE . Y I N ' Address ( '•j , Llcanaed [.' I • t . , . , cGTRICIAN . . • • • COMPANY. ' . _ .. . • . •. . • .. .. . 1 : ' SIGNATURE REOrSTERCp . L YIN I';: • FERWARM\ • L Y. /N I r. Address I Llcariee g 9 Curie Lr ' MPANY I • ) I V .L� .L Uti . ". I SIGN 1'er¢ eSetse- . YI • M cum* . (•YIN I Manure 4D«S s .LA):/et :Ac :(Attleft1 all/ .• c . Le #I . CF-Cst , 516o17I' MEC HANICA 1 couPAFoy I, ' 81GNAT0IT •- . •• R Eete r mieD ' 1 Y 1 N • rRE creme. • I YIN 1 ' Addfaee . ' OTHER COMPANY I` SIGNATURE • eo sii -nEO [UM FE4 CunREA (I RESIDENTIAL. . AQad+ (2) Plot Plane; (2) Bete of f:1011ns Plena; (1) sat of Energy F orme; R-O-W Pernik for new oonstrucbon,: • Minimum tea (10) wbdarg deys'aAer submittal date. Required °nelte. Constru on Pleas, 2lormrader Pease w/ Set Fence InoAeed Sanlfary Facllees & 1 dumb:den eke Work PermR for subdivisions/large pmleeie • ' • • • • • - , • • COMMERCIAL Mach (2) Complete eels of Building Plane glue s Ufa Safety Page; (1) set of Energy Forms. R-O-W Permit for new comebucdon. • . , P 0nimum ten (10) wat1dng days alter iabrnldal dale. Required oases, Construction Plane, Slonnwaler Peens wa Sel Fens Jastelbd, • Slinks& Faol ese OA ammeter. eke Work Pennit.for en now projects: All commerelal reoutremwKS must meet compeanoe SIGN PERMrr , Mach (2) sets of Engineered Pena. • • ' • ""PROPERTY SURVEY required Tori i NEW onnaki talon ' . . Directions PII out application eompletly. • • ' . . • • Owners Contractor Mn g bask of eppllce0on. notarized •. - . If over $25os a Noun of C6mmeneement Is required. (AIC upgrades over $7600) • Apenl /for Drs ooMroolar) or Power of At (for the owner) would be someone with notarized Jetie(Tram owner aut or: iing same'. • • • OVER THE COUNTER PERMITTING (Heel STAppllcaeon Only) • Remofs M shingles ' • Sewers Service Upgrades AIC Fences (PIoesunreylFootage) orivewaye -Not ever CounWr lr oil subtle roedweys..needs ROW: - • -