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f ata 7aaoox0 C! ofZephyrhills:P&rriiitApplication FaX-8* M 78O21 <br /> City Build <br /> ing Department <br /> Date Received Phone Contact for,,Permitting 1(11=:W1R qqtvc:� <br /> 1 1'1..r- . . . . . . . . . ... . . . . . . . . . . . . .. . . ... . . <br /> Owner's Name Owner Phone Number <br /> Ownees Address sa— Ownor'Phono,Number <br /> Fee Simple Titleholder Name F-- Owner phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l D 21 LotO <br /> SUBDIVISION PARCEL tD#1u�l -0—61 M— <br /> (OSTJUNFD FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCO!!5TRR ADDIALT = SIGN DEMOLISH <br /> R, INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION Qn <br /> BLOCK = FRAME STEEL QI <br /> w 3 N* <br /> DESCRIPTION OF WORK 2- i"dot L4 A <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ILD I N G N OF TOTAL.0 ONSTRUCTION <br /> I S2641-D VALUATION <br /> =ELECTRICAL AMP SERVICE. PROGRESS ENERGY r7' -W:R.t.*C, <br /> =PLUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .4- <br /> BUILDER COMPANY L <br /> SIGNATURE REGISTERED -T�Y�7-9— FEE CURREK I YIN I- <br /> Address 7C, <br /> 7 4V 7�4 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Y/N I PEECURREh YIN <br /> Address t License.# <br /> PLUMBER COMPANY <br /> SIGNATURE R CGISTERF0 I YIN I FEECURREK LILN J <br /> Address License 0 <br /> MECHANICAL COMPANY F <br /> SIGNATURE REGISTERED I Y/N FEE CURREh LY/—NT <br /> Address License ll, <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRE� LILN J <br /> Address <br /> 11111:1 1 off it I I I I I I I I I I t I I I I'I.I-I I I I I I I I I I I I I j I�1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of B i uliding Plans,(1)set of Energy Forms;R-O.W.Pertnit for new,construction, <br /> Minimum ten(10)woddng days after submittal date. Required brisite.Consttuctlon PlIms.,Stormwaler Plins.w/Silt Fence installed, <br /> Sanitary,Facilities'A I dumpslar:Site Work Penn![for su4clivisionsnarge proj ects <br /> COMMERCIAL. Attach(2)Complete sets of Building Pis nsplus a Life Safety Page;(1)set of Energy Forms.R.0,0..Po"It for riewPonsimcgon'., <br /> Minimum tort(IO)working dio'afters6bmitWIdate, Required onsile,Construction Plans,Stomrwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit forall now projects.All commercial requIremamts must meet Compliance <br /> SIGN PERMIT- Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . ... . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application cornpte�tely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requ I rod. (A/C upgrades oVor$7500) <br /> Agent(lor.the Contractor)or Power of Aftom6y(!or the owner)would be someone with notarized letter from pwrter authorizing <br /> same <br /> OVER THE COUNTER PERMITTING, , (copy.of contract required) <br /> Reroofs if shingles Sewers Service Upgrades Aid Fences(Plot/Survey/Footage) <br /> Drlvdways-Not over Counter if on publlcroadways..needs ROW <br />