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a13 zaaoasa City of Zephyihills Permit Applicati `�""' e13 zsaao2l <br /> Butung Depe?tnia it <br /> Data Received Jf o 1/ .. -� Ph a Canlactfor pe.11 to 1/�3 <br /> Owner's Name l W14 zl as 11 Qwn on i iber �� ' <br /> Oumar s Addrst .� 7F /0 s- rll11r it - -7x!���(jwnar Phone Number — Jl� <br /> Fee <br /> Slmpl6-Tlttaho[deq.NartisL_� ��rL Owcier Phone Number <br /> Fee Simple Titleholder Address 5q3 5 /d ems% I� Ai— 335 O <br /> J06ADDRESs LOTf► <br /> SUBDIVISION Z �✓ IP6 PARCEL 109 /1'�`,;z/ to lv-I3 ea'L7© CTlo <br /> fonuNeo FROST IVROP_EMYTA1Ct1omml <br /> WORK PROPOSED NEW CONSTR. ADDIALT SIGN Q = DEMOLISH <br /> 'H INSTALL REPAIR <br /> PROPOSED USE r SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK [Ii' FRAME STEEL. _ <br /> DESCRIPTION OF WORK �C Gf/� oT N s7n : OV 07-Sf 404 AlevV ocor4 �A1Cr, <br /> BUILDING SIZE � SQ FOOTAGE <br /> t[ BUILD,�G S VALUATION'0P TOTAL CONSTRUCTION <br /> =ELECTRICAL t ' $� AMP SERVICE �] PROGRESS ENERGY W,R.E.C; <br /> =PLUfdaMG $ `� ' <br /> =MECHANICAL �— VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [� ROOFING = SPECIALTY[ ] OTHER <br /> FINISHED FLOOR.ELEV TIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY �ro C& <br /> SIGNATURE - s REGISTEREn I Y/N KE CL%-,t+ Y/N <br /> Address "1 _.__ * __l Lken"yit <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN . FEE CURREn 1--YIN <br /> Addrasn g8P 7AtkA4a2%.f4l. License# tr" l3 f!t5 t <br /> SIGNATURE <br /> ER cofbFANY ayo �� <br /> SIGNATURE -mot U �( REt3r9TERED Y1 N FMCiRiRES Y!N t' <br /> Address I �LQ t1 � ucanse# <br /> MECHANICAL COMPANY . <br /> SIGNATURE REGISTERED I YIN „ FEEcu(R'RE .Y/�N <br /> Address <br /> �us•K+f*tu»�I dills 44G• " <br /> OTHER COMPANY <br /> SIGNATURE - itEGiSrEREtiV I YIN FEECtrRREA 'Y1N <br /> Address License <br /> Hill <br /> RESIDENTIAL Aftach'(2)Plat Plans;(2)sets of Biilldinti Plans;{i)set of Energy Forms;R-O-W Permit for new constructlan, <br /> M;nimum term(1D),vrod frtg days after siibmlttal data:Required onsite.Cans{nicflort Plans,Stomnwater Plana w/Sill Fence Installed, <br /> Sanitary FaGildes&1 dumpst er,'Slle Work Pertnk for subdl,4sionsflargs project, <br /> COMMERCIAL Attach(3)complete sets of Bulidlrig Plans ptiu'a Llfe'Safety Page;(i)set of Energy Forms.R-OW Permit for new construction. <br /> FAInimum ten(10)woWng days after submittal date. Required onsile,Conssbuotfon Plans,Storswatar Plans wt SUt Fence installed, <br /> Sanitary Facilldas&1 dumpster.Site Work Permit for all new projects,All commetclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered-Plans.. <br /> —PROPERTY SURVEY tagWMd for an NEW construction. <br /> Directions, <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement la requliod. (AIC upgrades over$/500) <br /> Agent(tor the contractor}or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only). <br /> Rercofs if stungles Sewer• Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Countsr If on public roadways.needs ROW <br />