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r <br /> A ss�Leo�020 City of Zephyrhills Permit Application Fax-813-7804)021 <br /> Building Departrnent { <br /> Daft Recei`ed Phone Contact for p <br /> owners Name ! G`��A ?-: RM19'• Owner Phone Number <br /> 7 <br /> Owners Address 7 -:5 f bf' e!d c Owner Phi Number [— <br /> Fee Simple Titlehoiaer Name ( --- Or;. <br /> Pb-Number. <br /> I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �77mJ / 'T M _ �tr_ :. Lot III <br /> SUBDlYISION. 1 �. PARCEL IDi !/ r�� © j�� 4nT✓ <br /> . ... .. .. .. (OSTUHED FRota PitoPFJiTY rlsx xoticsm - ! <br /> WORK PROPOSED' NEW=IsrIt ADD/AL7° SIGN C] = DEMOLISH <br /> e'' INSTALL_.._ REPAIR } <br /> PROPOSED USE "[p 'SFR -.. = COMM" [ OTHER , <br /> TYPE OF CONSTRUCTION = BLOCK_ Q FRAME STEEL <br /> DESCRIPTION OFWORK Ale, 'Gi nN -v a <br /> I <br /> r <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> 1+ <br /> =BUILDING - _ .S - VAIt)ATIONOF;TOTALCONSTRUCTION - <br /> =ELECTRICAL' $ AMPSERViCE. _ PROGRESS ENERGY 0 W.R.E.C. <br /> t <br /> 0PLUMBING 6 <br /> .. . { <br /> =MECHANICAL $ -� VALUATION OF MECHANICAL INSTALLATION <br /> I <br /> =GAS ROOFING - SPECIALTY OTHER.:. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA' =YES NO { <br /> 4 <br /> i <br /> BUILDER 1(� COMPANY <br /> SIGNATURE 1 �T �. .REGISTERED I Y f N I FEE CURREK <br /> Address License If r { <br /> ELECTRICIAN COMPANY <br /> SIGNATURE - .REGISTERED I Y/N.. FEE CUF R Y 1 N ! <br /> I <br /> Address License#,� <br /> PLUMBER CaillPANY, <br /> SIGNATURE _-REGISTERED. I YIN FEECURRET Y/N <br /> Address License# <br /> SIGNATURMECHM. E, COMPANY <br /> ''REGnsI'ERED''-= - y.)N,: .."FEE MUM Y/N - <br /> Addnass <br /> y� r f g) U #. 0 OTHER* CWNY. <br /> SIGNATURE riS PA <br /> A Y!N V FEE CURREn <br /> Address License# <br /> I I 1 I I-I I LRI vi111'114:11 v I I I U1-'I/ I I I 1:1 1 /"1'.11 1 9.11,1 1A III 1:1.1 1 IJ,1-1 I I I I I I�I 11 1_1 1 I I <br /> RESIDENTIAL Attach(2)Plot Piars;..(2)sets of Build* Plars-•(1)set of Energy Forms;R-0-W Permit for new constnicdo'" <br /> Minimum ten(10)wodartg days after submittal date.'Required onsite;Construction Plans;Storinwater Plans w/Sift Fence installed; <br /> Sanitary Facilities&1 dumpster Site Work Pemut for subtiivisionsftrge pn*x is <br /> COMMERCIAL Attach(2)complete sets of acpkfing P!ans,plus a1ft Safety Page;(1)set or Ermw Forms.R-0-W Permit for new construction. <br /> Minimum ten 00)wor ft days after submittal dale. Required:amW.Construction Plans.Stontwoater.Plans wl Siit Fence installed, <br /> Sanitary FagiWes.&1 dumpster.SOa.Work Permit for all new projects.All commercial requirements must most complianceSIGN PERMIT Attach(2)sets of Engi*red Prams. - . - . <br /> PROPERTY SURVEY required for-all NEW construction. - { <br /> DireWons: { <br /> Fill out application completely. <br /> Owner&CDmtractor sign back of application,notarized { <br /> fr over$2500,a Notice-of Commencement i s nnuimd. (AtC upgtades over$7500) <br /> Agent if-the axttractrir)or Power of Attorney(for the ownai•)would he someone with tictarbw�dlsttet from Omer authotiung same: <br /> OVER THE COUNTEWPERMITriNG (copy of contract reciuined} <br /> Reroofs if sWrdes Sewers •. Service.Upgrades.At <br /> C Farces(Pio#lSutveylFootage} <br /> Driveways-Not over Counter if on public roadways-needs ROW <br /> I <br />