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1 ,6 L/ <br /> $13-780-MO City of Zephyrhills Permit AppficaUon Fax-813-780-0021 <br /> Building Department <br /> Dift Rom:fired Phone Contact for.Permitting 1( Q <br /> Owner Phone Number ownees,ILM: 7 . . . . . .. Till/ <br /> Owners Address i Lf Sl-ejioL 1?4+tv Owner Phone Number <br /> Fee Simple Titlaholde Name I Owner Phone Number <br /> Fee Simple TMeholde Address <br /> JOB ADDRESS LOT# <br /> SUSDMSION PARCEL ID#10,3 -2k-9 1- (Po-wwo-o la <br /> (OBTAINED(OBTAINED FROM PROPER(YTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> 0 <br /> C <br /> 14 E ':N E INSTALL <br /> SFR <br /> BLOC <br /> INSTALL REPAIR <br /> PROPOSIBI)USE SFR COMM OTHER I I <br /> TYPE OF CONSTRU ON BLOCK FRAME STEEL <br /> t DESCRIPTION OF W RK Mo ��X4� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRIC 1$ AMP SERVICE PROGRESS ENERGY WIR.E.C. <br /> =PLUMBING $ <br /> I ' <br /> MECHANIC VALUATION OF MECHANICAL INSTALLATION <br /> 17002 <br /> GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR EL ATIONS FLOOD ZONE AREA OYES NO <br /> . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREI Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREK I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L-Y/N— <br /> Address License# <br /> MECHANICAL COMPANY !-) <br /> SIGNATURE REGISTERED I Y/N FEE CURREK I Y <br /> Address ✓ Cock+ License I 7WI's,1&,?Iq <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREK EY—/NN <br /> Address; License# <br /> I ir I,I I--r 1-1 1 1 1-I I I 1I 1 1-1 vir-1 171 III <br /> R!sivELN*njIILL eh(23 Plot Plane;(2)sets of Building Plans;(1)sot Energy Forms;R-O-W Permit for now construction, <br /> _ <br /> InWu—m PIvWwfSfft,FencaInsWsd,------- <br /> n1tary Facilities&I dump3ter,Site Work Permit for Gubdivislonsilarge proiects, <br /> COMMERCIAL (3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Inimurn ton(10)worldril days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sill Fence Installed, <br /> ftery,Facilities&I dumpstat Site Work Permit for all now projects.All commercial requirements must meet compliarze, <br /> SIGN PERMIT ch(2)sets of Engineered Plans. <br /> ROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Dinections: <br /> Fill out epplical)n completely. <br /> Owner&Con tr cW sign back of application,notarized <br /> ff over$2500, i Notice of Commencement Is required. (ARC upgrades over$7500) <br /> Agent(for the I mtractor)or Power ofAftomey(for the owner)would be someone with notarized letter from mmer authorizing same <br /> OVER THECO TERPERM1rMNG (Front of Application Only) <br /> Renects ff shingles <br /> !N Sewers Service Upgrades A/C Fen—(Plot/Sunray/Footage) <br /> Driveways-No over Counter If on public roadways-needs ROW <br />