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878ae0-0020 City Of Zephyrhills Permit App'Icatl <br /> Building Department <br /> Date.Recelyed �zj <br /> .Phone Contact for P®rmi g g 3 .�J 609 <br /> Owner's Name O S f �T k Ki�Z Own 7NUMber-',eZOwner's Address. Owner Phone <br /> Fee Simple Titleholdor Ham e •�N ��'i ut OwnerPlione Number,se <br /> Fee Simpli Titleholder Address S D.a a S 2'I� I S Z <br /> JOB ADDRESS SoS-� II�5 3354Z LOT# °'_of- <br /> SUBDIVISION. � Ol k PARCEL•ID#.. Z— Z�" ZI' — 00 ,D <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 �. DEMOLISH <br /> R: .' INSTALL B 'REPAIR <br /> PROPOSED;USE Q SFR 0: .:-COMM. OT—H-ER ` G <br /> TYPE`OF CONSTRUCTION LOCK - FRAME EEL <br /> 0 .. Q 0 0 <br /> DESCRIPTION oi:'wtiRr / t, r'V 1`tip 5 A" - <br /> i3U1LDIP➢GSIYE a" N 'SQ'FOOTAGE ��� .HEIGHT <br /> ..ea+ <br /> =BUILDING —_$ —70 VALUATION'OF TOTAL CONSTRUCTION' " <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 0PLUMBING � <br /> ,. <br /> [MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION. <br /> =GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHMFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> UILDER; ✓�4 "t„_L� COMPANY / V`� D w l�'e <br /> SIGNATURE —ri �-et) r , 1 REGISTERED Y/ N: FEE:CURRRN LILN <br /> LAddr®ss License.#" <br /> M <br /> EL COMPANY <br /> SIGNATURE G REGISTERED Y/ N FEE.CURREN Y/N <br /> Addre License.# <br /> PLURABE4V` COMPANY <br /> SIGRlPiTURE REGISTERED Y/ N. FEE CURREK " ' Y/:N <br /> Address. Ji/ ZD 33 wcerise#- <br /> CjCOMP ANY <br /> SIR 1: <br /> FEE CURREhGNATU <br /> AddrdSs'��,:::. License.# <br /> OTHER! COMPANY <br /> SIGNATURE;;t�i ;:' '.�i� r ' ,' ' REGISTERED Y/.)V FEE CURREK Y/N <br /> License <br /> RESIDENTIAL; sAttach;;2'uPlot`P.-.lens:2'setsof Buildin '<Pla 1 j,(.), g, ns'( )set'of Ene�gyForms;=R Q'; 1 construction,:. <br /> 1NP t .:: <br /> hAir�imurriRteek(,1Q)wq[kingFdays after.$ubmittehdate Required,66si4e;'Constru'ctiorr Plans;StObwaterPlans w/Silt Fenceinstalled; <br /> " unitsry;;F�acilitles&Al dumpster;"SiteWork Fermrt for subdivision§/large''.proJects' '' <br /> '_COfNN19RCIAL Life Safety Page;(1)set of Energy Forms.R-O-W Permit for'new-construction. <br /> Minimum ten(10)"working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence.Installed. <br /> Sanitary Facilities 8:1 dumpster.Site Work Permit'for�sll new projects.All commercial requirements must meet compliance <br /> $IGRi PERfWIT -Att4ch'(2)"sets if Enginee ediPlans a :- <br /> ****PROPERTY SURVEY required for.all.NEW construction... <br /> F11tout:application completely. <br /> 'Owner-&Contradtor-sigri,back of application,notarized <br /> If_over:$2500;.a,Notice.of:Commencement Is required. (A/C upgrades over$7500) <br /> Agent'(for the.contractoT):or Power.,of'Attomey-(for'the owner)would"tie someone with notarized letter from owner authorizing same <br /> '<::017ER`.YFIE COUNTER PERR�L1TIldG,,;...,.,,, ,.(copy,of contract.required) • ':`r:: <br /> .Recoofs ifatiirigles Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage) <br /> r..... _ <br /> "Driveways-Not over Counter if on pdblic'road'w ays..needs ROW ' . <br /> a <br />