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s .l <br /> 813-78O.- o City of Zephyrhills Permit Application Fax-818-780-0021 <br /> Building Department ! <br /> • <br /> D.40Received Phone Cont3ct for Permitting Ij <br /> owrhen's Name !l<NS V AJ�4 l owner P!lrahe TTtnrtber <br /> Owner's Address ' Owner Phone Number- 1 . <br /> Fee Simpbe Tdteholder Nariie'" Owner Phase Number j <br /> Fee simple rdiehomer Address <br /> JOB ADDRESS /6- Gl " Oe_vI.�L.S' ° ��. LOT#' I <br /> SUBDMSI0W' <br /> rg ri2Q. PAtGE1.I1i, 4` a5"a2/ d`t?D 410406 p?1t) <br /> (OSTAtNEB_PROM PROPFRT M UOTICQ <br /> WORKPROPOSE.D NEWCONsfR '. MALT SIGN ::.0. _- DEMOLISH k <br /> INSTALL,,:.: REPAIR:,_.,, <br /> PROPOSED USE ' 0 <br /> SFR' ' " �]' °COMM '" �._. OTHER <br /> BLOCK FRAME..;. STEEL <br /> .TYPE OF CONSTRUCTION. [_ . . . .. [� _ � cQt�'I' <br /> DESCRIPT60N OF WORK l�c�S." �C e-'C7 �.: T�JN'T Yi C J-60 <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT" i <br /> =BUILDING-,-- = S VALUATION OF TOTALCONSMUCTEON. - <br /> i I <br /> QELECTF2ICAL AMP SERVICE PROGRESS ENERGY" 0 W.R.E.C. <br /> =PLUMBING <br /> MECHANICAL $ /_�-^s��. VALUATION OF MECHANICAL INSTALtATfON i <br /> =GAS ROOFING C{ SPECIALTY[= OTHER.:.. l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER -- .-------° COMPANY - <br /> SIGNATURE r YIN, FEE CURREP Lj/N <br /> Address License it <br /> ELECTRICIAN COMPANY i <br /> SIGNATURE REGISTERED I Y/N FEE WRREn LILN <br /> Address Cicero_e#.I ^---� <br /> PLUMBER COMPANY: J <br /> SIGNATURE - SEGISTERED- Y/N'. FEE cufu r I Y'/N <br /> Address License#1 <br /> MECHANICAL . " �- ` ,�,� COINPAN1f : 14/�/25 <br /> SitiNATURE . :._ REGISTERED .. Y 1:N.r -FEE CURRM I YIN <br /> Address <br /> OTHER SIGNATUR i <br /> E REGISTERED- Y 1 N FEE CURREA Y/N <br /> 'Address - Ucense# <br /> T I Cull 1 I furvicul'11'/-1 vil 1 11',1'f 1:11.1.t fJ 11"11.1 A 1.111.:;.1;I:11=1.1 111-1 1 �.� �:Ii-i 1 1 1 1 1 1 1"f <br /> RESIDENTIAL Att@ich(2)Plot Plans,"(2).sits of Buildurg Plans:•(1)set of.Energy Farm;R-O-W Permit for.i ew cons"!:#on, <br /> Mnrmum ton(f0)working'days`after submW dater Required onsite,Constiu8tiorrPlaris:Stormweter Plans 4 Silt Fence installed: <br /> Sanitary Facilities&.1 dumpstef;Site Work Permit for subdivWnnslfarge projects <br /> COMMERCIAL Attach(2)complete sets of Building plans plus a Safety Page;(T)set of Energy Forms R-O-W Permit for new construction. <br /> MmimrmT ten"(SO)wvtldrip days"attersubrrhitta!date.Requited arisite,Coon PWm,Stamwwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&f dumpster.Site Work Permit for all now projects.All commercial requirements must meet'conipuance <br /> SIGN PERMIT Attach(2)Sets'of Engir"red Pram.., ' � -. ' i <br /> —PROPERTY SURVEY required for all NEW Construction.- . <br /> Dued(ons: '• j <br /> RII out application completely. <br /> Owner&,Coritradgt,".badt of application,notarized i <br /> ii over$2 i00,a Noti%e cf Coahimencesnerrt is•reriuhed. (AIC upgrades over$7500) <br /> ;Agent(far,fhe ccribactor);or Paver of Aftarne}i(fcrtlhe owner)would be Someone with notarized letter from owner audwxi2mg same <br /> OVER THE COUNTER PERMITTING (Wpy_oF"ixhrrbact required)-- . <br /> R."if shingles',. . Sewers. Service Upgrades.A/C -Fences(PIcVSurveylFogtage)' <br /> 'Driveways-Not over Counter if on public roadways:heeds ROW <br />