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City of Zephyrhills Permit Application FOX413-78DA11021 <br /> Building Department <br /> V/) <br /> Date Received Phone Contact for Pt rmitling [M� <br /> -T-VT-rw I I - - - - - - I I P . . . . . . . . <br /> RQ8E1CfO YOLAMDA 585-590-6414 <br /> Owner m s Na OwnerPhone,flnoba, 1 1 <br /> R — - , I <br /> --- <br /> Ownses.Address"15 SUMMER HILL DR ZE.'- j42-1&%erpi,' Nam one ' bar <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> F"Simple TitloholderA44ress I <br /> JOB ADDRESS 5015 SUI%MER HILL DRIVE LOT 0 <br /> SUBDIVISION PARCELIDA 12-26-21-0100-00000-0100 <br /> (ORTMO FROM PROPUM TAX NOTICE) <br /> WORK PROPOSED NEwam=E] ADDIALT r--j SIGN r--j r-7 DEMOLISH <br /> 13 INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK REM/REP SAME SIZE WINDOWS 7 <br /> BUILDING SIZE SO FOOTAGE HE <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 6,770 I VALUATION OF TOTAL CONSTRUCTION <br /> r—JELECTRICAL AMP SERVICE r—j PROGRESS ENERGY M W-R.E.C. <br /> r—JPLUMBINO <br /> [=MECIHANICAL VALUATION OF MECHANICAL INSTALLATION f.4 031' <br /> r—jGAS Q ROOFING Q SPECIALTY r--j OTHER <br /> FIN SHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO - <br /> !C-, )ilk— <br /> . . . . . . . . . . . . . . . . . .. ... . . . . . .. . . . . .. . . ... . . <br /> NEW SOUTH WINDOW <br /> BUILDER I=eOl LAN <br /> SIGNATURE Q, R?EOGAW Y Y/N FgECURPZN L_XLN J <br /> W(IJAUX A 33610 C—RC1330822 <br /> Address Ucarm#F <br /> ELECTRICIAN COMPANY F <br /> SIGNATURE REGISTMW YIN. FRE GUMM <br /> Address I I License 0 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTMED I YIN FEE CURREh ULN—j <br /> Address Licenses <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REMSTERM I YIN Fmcuumh L-XLN-j <br /> Address I License 0 <br /> OTHER COMPANY = <br /> SIGNATURE REOSTERED I YIN FEECURM LYLN J <br /> Address License 9 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Peffrit for new construction, <br /> Minimum ton(10)working days after submittal date. Required onsite.Constniction,Plans,StormwaterPlanaWSilt Fenceinstaffed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for subdivislonallarge pngodg <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life solely page;(1)set of Energy Form.R-O-W Pern-A for new construction. <br /> Minimum ton(10)warldnil days after Submittal date.Required onsite,Construction Plans,Stomrwater Plans vd Bill Fence Installed, <br /> Sanilmy Facilities&1dumpster Site Work Pormit for at!now Projects.All commercial requirernerns must met compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> .. . . . . . .. . .Azzalkillize . . . . . .. .. .. . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> Fill out application completely. <br /> Owner&Contractor sign back of appllcallor4 notarized <br /> if over$2500,a Notice ofCorrunancemart is required. (AIC upgrades over S74M) <br /> Agent(for the contactor)at Power of Attorney(for the owner)would be Someone with notarized taftritom Omer sinhortzIng Sam <br /> OVER THE COUNTER PERMITTING (copy.of contract required) <br /> Remoft if Shingles $ewers Service UpgWeg A/C Fences(Plonurvoy/Footage) <br /> Driveways-Not over Counter!Ion public r*adnyv...-,9sds ROW <br />