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8137e0-0020 City of Zephyrhills Permit Application Fax-e13a80-oo21 <br /> _ .....:. Building Department <br /> Date Received Plume Cmdaet far P"Frawlmg . -'7 2 C"�t <br /> . ' <br /> owws Name Xv/st:: owner Phone Umber 1 <br /> Owner's Address : 0,1!4 . Agr ner Phone Name ber. (� <br /> Fee Sim"Titleholder Name Owner Phone71 Phrrrber <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS LOT <br /> StlBDMStON. .__ PARCEL Iw <br /> (wr"w FROM Mo1s0WTAX N0TIM { <br /> WCRK PROPOSED NEW COtiSTR':. ADDlALT [n_;. SIGN ,0 =. DEMOLISH <br /> INSTALL:. 8 REPAIR <br /> PROPOSED USE M SFR 0 COMM 0': OTHER. <br /> TYPE OF CONSTRUCnON. ,[� BLOCK = FRAME- STEEL <br /> DESCRIPTION OF WORK .rPLi %r .s ST <br /> BUILDING SIZE F .SQ FOOTAGE - HEIGHT <br /> =BUILDING. $ VALUATION OFT-OTALCONSTRUCTION <br /> r.. <br /> =ELECTRICAL $ AMP SERVICE 'PROGRESS ENERGY [-1 W.R.E,C. <br /> I <br /> =PLUMBING t <br /> =MECHANICAL f V U ON OF MECHANICAL INSTALLATION <br /> =GAS = . ROOFING Q- SPECIALTY L�J OTHER.,.._ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO i <br /> BUILDER COMPANY. <br /> SIGNATURE F REGM"MD I Y!N_ FEE CURREn Y!N J ! <br /> 1 <br /> Address • License#�- <br /> i <br /> ELECTRICUW COMPANY <br /> SIGNATURE REMS M IM I Yf N. FEEWlUt rs LILN <br /> Address License# --T— <br /> PLUMBER COMPANY I <br /> SIGNATURE E ,..iiEorsi�Rm' Y!N FEECUnREr. _Y!N Ji <br /> Address License#f RIf r,d <br /> MECHANICAL COMPANY- Iq�fL',:{ '�/LO rAi Q <br /> SIGNATURE - RMGis7ERt9 Y f N. FEE WRREn Y f N/N <br /> Ad License#. <br /> OTHER !Ir COMPANY I <br /> SIGNATURE 1 REcasrMRED Yd N FEEgURRE. Y!N <br /> Address i Licenso#F- I <br /> 1 ! 1'F 1:1 1 1 1..1 1'.1 1 1.1.1 1.Li,I J 1.1.1-14 J 1.1 1 1;1,1 1 1 1 1 1-1 1 1 1 14 1 1 1 <br /> RESIDENTIAL Attach`(2).Plot PIens;,(2).sets of Buitdiny Plans:(1)set of.En, Forms;R O UV Permit(or.new ca nsUuctioo, <br /> Miinimum ten(10j v4br( flays enter submittttai date':Required oimde,ConstruacitiPlats;Stormwater Plans wf Sift Fence.instdad; <br /> Sanitary Fwdlh s&1 dumpstor,Site Work Permit for subxfrvisiorstlarge projects <br /> COMMERCIAL. Attach(2)complete sets of Bt IMV Pam,plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new constructior. i <br /> Minimum ton'(10)woftV days attar submittal date. Rewred,o isite.Construction Plans,StormNater Plans wl Sift Fence inatailad, <br /> Sanitary Facilities.&1 dumpster.Sfte.Wodk Permit for all now projects.AN commercial requirements must meet compiiance <br /> SiGN PERMIT Attach(2)sets of Engineered Plats.. <br /> —PROPERTY SURVEY required.farali NEW cortstruction. _ <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized- <br /> If over$2=,a Nadca of Comm nc ement is required. (A!C upgrefts over pwo) <br /> ' Agent(far the cwdtaOtor)or Pain of Attorney(fortha owner)would be someone with notarized letter from omrer authorizing same <br /> OVER THE COUNiER PERMMM '(copy of uontrad required)-- , C <br /> Reroofs if shingles Sewers Service Upgrades'A!C Fences.(Plot/Survey/Footage) <br /> Driveways-Not over Counterff on public madweys..needs ROW <br /> i <br /> i <br /> i <br />