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613-TBD,7C20 City of Zephyrhllls Permft Apptation Fax-813.780021 <br /> Bwldhg Departme d <br /> Data Roaalvad / Phone Contact for Pomitting <br /> C <br /> Ownses Name li Owner Phone Number <br /> Owner's Addroet, S lb?- Owner Pho is Number <br /> Fee Simple Titleholder Now Owner Phone Number <br /> Fee Simpla 1111oholderArMmea <br /> JOB ADDRESS SZ bZ � Lora <br /> I <br /> SUBDIVISION PARCMIDS I w r2 — '-70 <br /> (ORTnNED FROM PROPSM TAX K01M <br /> WORK PROPOSED PXW CON$TR 8 ADDJALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION [] BLUCK d FRAME L] STEEL 0 i <br /> DESCftlPTIONOFWORK � V��[• ' <br /> BUILDING SIZE SO FOOTAGE C� HEIGHT <br /> QBUILDIN3 S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL T AMP SERVICE Q PROGRESS ENERGY [� W.RE.C. <br /> �(�C/• <br /> i <br /> (=PLUMBWG S <br /> !. �3 <br /> �MECNANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY Q OTHER <br /> FMHE.D FLOOR ELEI/ATIONS FLOODZONEAREA =YES NO <br /> BUILDER COMPANY <br /> SKGNATURB REG WL-0 I Y/N FEE wnRr n <br /> Address Libense N <br /> ELECTRICIAN COMPANY <br /> r <br /> SIGNATURE cuar9tED I YINFfiEr:1nWB, I YIN � <br /> Address Lic�rrse q <br /> r <br /> PLUMBER COMPANY <br /> SIGNATURE L RE0I81E1020 I YIN FEEgJRIM Yf N <br /> Address LLiensell ,�'^ <br /> MEC A NICURE �Q�wti..0 COMPANY 1 y��r ue— � y I SIGryry <br /> O REGISTERED I YIN FEE WRRFA I YIN <br /> Address UcensaB <br /> OTHER COMPANY <br /> SIGNATURE REGG EIM I YIN FEE CURRB N ' <br /> Address License fF <br /> 111111111111111111111II111111 { 111111111 { Illllllilllllllllllli111111 <br /> REBmENMAL Attach(2)Plot Plans;(2)sate of Bugdlq Pima;(1)set of Energy Forma:ROAN Permit for now earatruedon. <br /> mini mum ton(10)wonting days after submldal dote.Required anatte,Construdbn Puns,Stomavater Plans w/SUt Fence Irrslaued. <br /> Santtery Facilities&1 dumpstor.SIM Work parmlt for subefivistonallarge projeetl <br /> COMMERCIAL Attach(2)compicte sets of 8tdWng Pfene plus a UleSafety Page;(1)set of Energy Forme,R-O-W Permit for new ocnahmilDn. I <br /> A&IMum ten(10)working days aflorsubmiltal data.Required ensite.Conetnrasan Pane.Stmmwator Pima vu Strt Fence frrstaflad. <br /> Sanllery FacillUss&1 dumpator,Stle Work Permit for s0 new projects.All cemmerota)roWmments mug meet camplance l <br /> SIGN PERMIT Attach(2)seta of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW emmirsclon. <br /> . . . . . . . <br /> Dheettorro:• <br /> Fill out appflGodon completely, i <br /> Owner&Cmtmxkw sign back of application,notadxed <br /> Hover$2600,a Notice of Commoncoment Is required. (AlC upgrades over$7W0) <br /> •• Agent(for the oonttador)or Polder orAttwoay(fer ew awnw)world be Someone Kith notarized letter from asaw aulhodzing some <br /> OVER THE COUNTER PERMITTING (copy of ewuract rogrdrad) <br /> Roroofs If sNrr In Sewers Service Upgrades AfC Fences(P!o!/ maylFootage) <br /> Drlvoways-Not over Cauntar If on publoroedwoya_noada ROW <br />