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813-7804)020 City Of Zephyrrhills Permit Appkation Fax-813-780-0021 <br /> Building Departmertt- <br /> Data Aeceh-ed Phone Contact for Permittim FA X9 1-5 <br /> - a a * ' <br /> Owner's <br /> Name Phone Number <br /> Owner%Address[37q`13 G i I A Ve-) —J Owner Phone Number F— <br /> Fee simple rdleholder Name Owner Phone Number <br /> Fee Simple rMehokler Address <br /> JOB ADDRESS .19 LOT# <br /> SUBDIVISION 10-irud Hor I zw��l PARCEL IDN 13q 0!5 D I i q0 1)oboo /M <br /> (OSTMEZ)FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION r7 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING is <br /> []E%1`ECHANICAl- J$L+qq5—Zq VALUATION OF MECHANICAL INSTALLATION <br /> CAS 0 ROOFING = SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . 111111 . . . . . . . . . <br /> BUILDER COMPANY = 7 <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address License 4 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN LILN J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LZLN_j <br /> Address License#r <br /> MECHANICAL COMPANY L&IhL5 <br /> SIGNATUREREGISTERED I Y/N FVECURRE?� I YIN <br /> Address %44 'Vol^ 19:1 1--1 license#Mal 4—N <br /> OTHER COMPANY = <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN <br /> Address License#F77 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Pfarw,(2)sets of Building Plarw,(1)set of Energy Forms-,R-O-W Permit for new construction. <br /> Minimum ten(10)walling days after submittal date. Required onsite,Construction Plans,Skamater Plans vd Sift Fence installed, <br /> Sanitary Facilifies&1 dumpster:Site Work pemift-for subdivisions/large projects <br /> COMMERCIAL Aftach(2)complete select Buildng Plans plus a Life Safety PaW,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ton(10)%tridno days alter submittal data. Required onsita.CWtsbuction Plans,StorIvArater Plans wl Sift Fence installed, <br /> marls SIGN PERMIT Attach( <br /> Sanitary2)Facilities&I dumpstv.SRO Work Permit for all new projects.All commercial requirements must meet compliance <br /> sets of Enghearad . <br /> PROPERTY SURVEY required for all NEW construction. <br /> No — . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> DIMC110ink. <br /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> A over S25N,a Notice ofCorm—comeotiSrortmed. (A/C upgrades over$75M) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER Pi;W`r�ikq (copy*- ' of L- -1-ot, . letter *1—:,�" ...- . -- <br /> ,O-bact required) <br /> Rervals if shingles Sawam Service Upgrades A/C Fences(PkItilsurvey/Footago) <br /> Driveways-Not <br /> over Counter If on public lloadlllayal,.n.ds ROW <br />