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Si3-760-CO20 City of Zephyihills Permit Application Fax-813-780-0021 <br /> Building Department <br /> DMIRacelvad PlImContactfor Permitting F--t t I T 159-S <br /> I rr'l-f ir'S.11' t2=3=3MEXXX 1 1-9 IF IT IT I VT I a I I I I <br /> Owner's Name Owner Phone Number <br /> Owneee Address Owner Phone Number <br /> FeD Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOSAW44-MS LEM LALn"Ja) t 1OT* <br /> SUBDIVISION \1 errcj PARCEL 1001 <br /> (OBTAINED FRONT PROPERTY TAX NOMOR) <br /> WORK PROPOSED NEW CONWR ADDIALT SIGN DEMOLISH <br /> R INSTALL Lj REPAIR <br /> PROPOSED USE F1 SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK L-L11 <br /> BUILDING SIZE I 1 80 FOOTAGE HEIGHT I <br /> . .ff; . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> 1771ELECTRICAL CIS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> M!IPLUMBING <br /> 17—IMECHANICAL ]s VALUATION OF MECHANICAL INSTALLATION <br /> r--IGAS 0 ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> GUILDER COMPANY I <br /> SIGNATURE F t REGISTERED I Y1 N FMCURREI� 12LN j <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN I For cuRm <br /> Address License 0 <br /> PLUMBER COMPANY <br /> SIGNATURE RZOMRED N FEE CURRM LILN J <br /> Address CDC Urensa# UF I�A-90 <br /> MECHANICAL COMPANY <br /> -SIGNATURE -MMSMED I Y/ N FEE*CURM <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN Feecuitimb L.XLN J <br /> Ad4roas License* <br /> RESIDENTIAL Attach(2)Plot Plans; sets of Building Plerw,(1)set of Energy Forms;R-O-W Permit for new construction,, <br /> Minimum ton(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Mit Fence Installed, <br /> Senitary Facilities&I durnpsteT;Site Work Permit for subdi wisionsfiarge projam <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a1ifat 861*Pagw,(1)s4ofErvargy Forms.R-O-Vv Permit for now construction. <br /> Minimum ton(10)working days after submittal date. Required onsIte,Construction Plans,Slormweter Plans wl Slit Fence Installed, <br /> Sanitary Facilities&i dumpster.Site Work Permit for all new pmloots,Alt commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Dire I"... <br /> Fill Out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Povp-r of Attorney(for the Owner)would be someone with notarized letter front owner authorizing some <br /> OVER THE COUNTER PERMITTING (oully ofeantract required) <br /> Retws-if siltnotes Sewers .SerVice'UpIpades ATC Fences(PlotTSumy/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />