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eta-7e0-0020 City of Zephyrhills Permit Application Fax-813-700021 <br /> • BuRding Department '} <br /> Date Received } ehone.Confaat-for Pe S/k3 <br /> Ownsr'a Name QPJ G,4^>7/h04� Owner Phone Number <br /> Owner's Address 56 2-720 7w sr Z-►}9 BLS r F�- Owner Phone Number <br /> Fes SNnplr•Tilleliolder Name Owner Rhone Number ' <br /> Fee SlmplaTltieholderAddress �•LA <br /> JOB ADDRESS 5foi2 Zo7W S7. 7--MM:s,I-4— 33 S*•- LOT <br /> SUBDMS19N PARCEL ID# <br /> • - (OBTAINED FROM PROPERTY.4AX NOTICE] <br /> WORK PROPOSED 'NEW-CONSTR• . ADDIALT Q' SIGN' 'Q Q DEMOLISH, <br /> e• INSTALL ; REPAIR <br /> PROPOSE�XSE SFR• 0 Cow. • ] 10THM <br /> TYPE OF CONSTRUCTION Q' "ELOCK Q FRAME :��: 'STEEL 'Q _ <br /> DESCRIPTION OF WORK Y IAIsT�w AFC'• QR,I✓FIJf9y :S 0A4- Sl';• 00tdq�j <br /> r <br /> BUILDING f..IZE Al A• SQ FOOTAGE=; , •J=61T <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION h <br /> =E}EC1 RICAL $ AMP SERVICE Q PROGRESS ENERGY WA MC. <br /> =PLUMBING. $ <br /> l <br /> [:3MECHANICAL $ VALUATION'OF.MECHANICALINSTALL•ATION <br /> =GAS ROOFING ;Q SPECIALTY[= OTHER- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. .NO <br /> BUILDER COMPANY A4c-x (bw07--,/-AJC!, <br /> SIGNATURE REGISTERED I Y/ N +EE CURRM •Y/N <br /> Address - Clcensa#' <br /> ELECTRICI W F -COMPANY <br /> SIGNATURE ' REGISTERED I Y/N FEE-CURRW I •''YIN. . <br /> Address <br /> PLUMBER) v <br /> COMPANY <br /> SIGNATURE' ti REGISTERED l Y.I.N.. ;.•yl:E-CURRIR: '''Y-I N <br /> Address !.l�iae,# <br /> MECHANICAL:' _ COdAPANY <br /> SIGNATURE <br /> REGISTERED. _Y,/N.':.., FEEGI•tRREt. Y.IrN <br /> Addaft' .3 :'> LICQ9so�F <br /> OTHER „GOI�IIpA(dY- _ <br /> SIGNAT ` <br /> URE •C'. t:. ' : It�'cISTEReb' Y FEE cU <br /> __ <br /> ' .- <br /> Address <br /> -. •e.• .....j. r•..-... <br /> RESIDEI'ITIA4,'•• Atlach(?)�?IotP.lens:t2)s�fs,bUBu(Idteg'f?laii"s'Ei)set'oflEnergyForin�R�-'VII�Perg'Ilicrnewcoirahpelrori. -'•' - <br /> -,,.+_;Mhlimumtep<1?0}ayorkUlg days agar s¢bmfHel datgx Requfietl ohslteaCaiietitiLtlon Raehe<Stormwataz'Pna w)_BIItIFenee Installed, <br /> tanilaryleQtleg ,r}tdump8tel:SiteIf�rkd?@rmltto <br /> e <br /> rsubirnii6lbtlURatgb'grlu] ;. :` 'v <br /> COMMERCIAL Attach(3)bbmplate'safe`ot`9utitlthg°Plans plus Lfe SatelyrPaga;(1)set of'tcnergy Fomrs Rr0 YV Permttfor nerV oonsWerion. <br /> Minimum ten(10)worklrlg days after submittal date.Required onsite,Construction Plane,Stortnwater Plans w!Sllt Fence Ursfallad, <br /> 8anitary F. Use&1 dumpater.Site Work Permit for <br /> al <br /> SIGN PERMIT Atfal naxrprojeam:All kAmmero[al requlkemants mkrst meet comp0ence <br /> df(2)seed OfEegitlegrad )arle ^'' i <br /> •"'PROPERTY SURVEY required fob ap NEt(V,poitsburilton.. <br /> FIB out application completely. <br /> Owner&Contractor sign back of appllkation,notarized <br /> If over nso0•a Notice of Corrmrencement Is required. (AFC upgrades over$7500) <br /> Agent(for ttie oo�raotor}or'Pb14ai''drAt1offii(for the owner)would be someone vilth rkotadzed letter from owner authorizing same <br /> OVER THE COUNTER•PERMITTINM- •--{Frontaf•ApplicaOon Only)- <br /> Remofs if shingles Sewers Sarvice Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pub9e madA;s..needs ROW' <br /> l <br />