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� e��-7eo-ooza Gify af Zephyrhills Perrnit Applicatian �ax asa-1aa�2� <br /> Building Department <br /> i �ata ReCeived -- � phone Contact fot Permiltin <br /> owner"s Narrie S�Elizabeths E isCo al Chttrch Ownsr Fhone Humber {813}7&2-1202 <br /> Owner's Address 5g55 l litll t,� �1 hills FI pwner Phone Number � � <br /> Fee Simple Tftlehbtder Name �_� � � pwner Phone Number �-_--� <br /> Fee Simp[e Iittehalder Atldress <br /> J08 ADpRESS $$S5 1St17 St.ZE �1 Ili1�.S,�1 LO7# r�� <br /> SUBDNISION �— � p�CEL Ina 11-26-21-0010-05000-0010 <br /> (OBTAINEDFROMPROPFA7YTA%NOTIGE) ' <br /> WORK Pi20P4SED e N 7ALL R 8 �P RT Q SI{',N Q � pEMOLISN <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE G1F CQNSTRUCTiON � BLQCK Q FFtAME � STEEL Q <br />� <br /> DESCRIPTION OF WORK Install cppl.cing appliance fire suppressian system <br /> BUILDING SIZE �-� SQ FOQ7AGE[� HEIGH7 [�� <br /> QSUILQING �y� VALUATION OF TOTAL CONSTRUGTION <br /> ..---" <br /> QELEC7RlCAL �S� AMP SERViCE Q PROGRESS ENERGY W.R.E.G. <br /> QPLUMBING �� + , ��, r�n �- <br /> � t/ <br /> QMECHANICAL $ ��52.00 VALUATION O�MECHANICAL INSTALLATION � f, \ <br /> `���i <br /> QGAS Q ROOFIhlG Q SPECtALTY Q OTI-!ER <br /> FINISHEp FLOOR ELEVA710NS �� FLOOD ZONE AREA �]YES NO <br /> BUlLDER � � GOMPANY � <br /> SIGNATURE R�c1sTEREo Y t'N FEE cuRREN Y 1 N <br /> Address Ltcense# � � <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE cu�utEN Y!N <br /> Address License#�` � <br /> PIUMBER � � COMPAPtY � <br /> SIGRIATURE RE615TERED Y I N fEE CURREt� Y I N <br /> Address license# �� � <br /> MECHANICAL , COMPANY � -� <br /> SiGNATURE �� � ReaISTEam Y/ N �E cua� Y/N <br /> address Lice�se S � I <br /> QTHER ���„f�+� GQMPANY �ecurity Pire Equipment,l,T,C <br /> SIGNATitRE rtecisTEREo Y t N FEE CttRnEN Y I N <br /> aadress 18330 Lawrence Rd Dade City,F133523 ucense# SQ25520p012004 <br /> { [1II11tIlI �IIIIIiEIIII1tIIiIl � Iltilltltll�I.IIIII1IItIi1i ( IIII � � PIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> MinGnum len(10)worldng days after su4mittal date. Required onsite,ConsWcUon Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciGEies&t dumpster,Site Wotk Permti tor suhdivisionsilarge projeets <br /> CdMMERC[Al Attacfi{2)cortSptete sets ot Buiiding Pians ptus a ltte Safety Page;(i}sei of Energy Fortns.R 4-W Permit for new construction. <br /> Minimum ten(10)woridng days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Ferice installed, <br /> Sanitary Faalities&1 dumpster.Site Work Pemiit f6r all new projects.Alt commercial requirecnents must meet compliance <br /> SIGN PERMIT Ritach{2}sets of Eng(neered Pfans. <br /> ""PROPERTY SURVEY required for all NEW cpnstruction. <br /> . .�5�' '.�{a-l-0-.-:�-5.:-: � � ' Fa-`.-:�C.:..� , ' 4 ' <br /> Directions: <br /> Fill oaf appficaGon completely_ <br /> Ovmer 8 Contractor sfgn back of application,notadzed <br /> If over 525�0,a Notice of Commencement is required (AIC upgredes over$7500) <br /> " Ageni(fnr the Contractor}or Pawet of Atior�tey(ior!he ovmer)wouid 6e sameone wit#t natarized tetter from ownsr autharizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) • <br /> RerooTs if shingles Sewers, Service Upgrades fUC Fences(PlodSunrey/Footage) <br /> Driveways=Not o�er Counier"rf on pubtic roadurays..needs.ROW <br />