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alaas0-oo20 City of Zephyrhills Permit Application Fax s13 7e0-oo2l <br /> Building Department <br /> Date Received {fin A Phone Corifact for Permtltlttg <br /> Owners.r'W. ' J-/T7v /LL I Owner phone,Number �' 125 -diJ <br /> Owners address bd G-R o l b Al-� 57 76,6 0.Pho.Number 1 <br /> [ <br /> Fee Simple Titleholder Name L � � � I Owner Phone Number F ' <br /> Fee Simple Titleholder Address p T T" <br /> JOB ADDRESS !) O' AL, Ten. 'D e LOT# <br /> SUBDIVISION PARCEL.TD# <br /> .,. _ (06fAR1ED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED . NEW CDNSTR ADD/ALT U SIGN = [� DEMOLISH , <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM - Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL = <br /> DESCRIPTION0PWORK.: .��' a TN o� W"r-5 <br /> BUILDING SIZE 1 SQ FOOTAGE= ' HEIGHT'�� <br /> =BUILDING $ . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is <br /> AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> MECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION. <br /> =C,AS Q ROOFING .Q SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS . �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ^� REGISTERED I Y/N FEE cuRka. L_X l N J. <br /> Address License#l <br /> ELECTRICIAN jIt COMPANY <br /> SIGNATURE 'I REGISTERED I Y/N FEE GURREn LILN J . <br /> Address License#. <br /> PLUMBER COMPANY. <br /> SIGNATURE - - REGISTERED I Y 1 N- ...FEE CURREA <br /> Address License#L I <br /> SIGNATURE Jam RREEGIISSTERED 'IY� F�EECU RREn�R�i - <br /> "`� Y/N <br /> Addr License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn LZIN " <br /> Address License# <br /> 1 � IIIIIIIIIIII � � � � IIIIIt1I'1tI111I,1,1IIIA111,1I fit 11111-11111I1111 Bill <br /> RESIDENTIAL Attach(2)Plot plans;(2)sets of Building Plarr;;(1)set of Energy Farms;R-O-W Permit for new cdnstr4 dion, <br /> Minimum tan(10)working days after submittal data. Required onsite,'Cortsbuction Plans,StomiWater Plans w/Silt Fence installed, <br /> :Sanitary Facilities&1 dumpster,Site Work Permit for_subdirisiansAarge projects . <br /> COMMERCIAL Attach'(2)complete sets of Building Plans'plus a life Safety Page;(1)set of Energy Forms,R O-W Permit for new construction: <br /> Minimum tan(10)wodirig days after sut MRW date.Required onsite.Constntction Plans,Stotmwater Plans wl Silt Form installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT. Attach(2)sets,of Engineered Plans; ' <br /> PROPERTY SURVEY required,for all NEW construction. <br /> 6-1164-4 <br /> a . <br /> Ditectloits: <br /> Fit out application cornpieteiy. <br /> Owner&Contractor sign backof oppticatfon.twiarized, <br /> I(over S2500,a Notice of Commencement Is required. (Aic upgrades over y7W) <br /> Agent(for Ilia ciXltractor)or Power of Attorney{far the owner)would be someone with notarized letter from owner authorWhg Sarni, 'a. :... <br /> OVERTHE COUNTER PERmrrnNO. (copy of eontract required).. <br /> Rem+if s)tingles i 'Sewers Service Upgrades A/C Fences(PkWSurveytFootage) <br /> OriJawBysNot over Gounter.if ap, bfio n <br /> p u ,pdways• eeds ROW <br /> ."" <br />