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e13-7804ozo City of Z®phyrhills Permit Application <br /> v Fax-813-780-MI <br /> Building Department <br /> Date RMI nd ^Z q-1 Phone Contact for PonriMn I3 7 &7_ 7 YS x <br /> owners Nam: B ' 'Adcl e- Owmar Phone Number <br /> owners Address 3 oaa t✓�ou�-r}S Owner Phone Number <br /> Fes Slmpfe Tktlsholde Name Owner Phone Number <br /> Fee Simple Ttlleholde Address <br /> JOB ADDRESS Ovdt DfR LOT# <br /> SUBDIVISION1�A'� Wch(L9L.)'r.�A PARCELIDA � ZG-L-df(o0 -poexja-O�fSo <br /> JWTANM FrteY PROPERTY TAX NDr1M <br /> WORK PROPOSED B NEWCONSTR® ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRU N Q BLOCK Q FRAME/► Q STEEL Q <br /> DESCRIPTION OF W RK C I 2-�.JC 7-6 <br /> BUILDING SIZE SQ FOOTAGE[� HEIOHT 1� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIC 5 AMP SERVICE Q PROGRESS ENERGY Q W.R.E C. <br /> M;r � <br /> =PLUMBING S <br /> WMECHANI 5 S VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR E ATIONS FLOOD ZONE AREA AYES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE c Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRB Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRET Y/N <br /> Address License# <br /> MECHANICAL _. COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURRET LILN <br /> Address 01 O 14 4FyeLicense# <br /> OTHER: COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRElk Y/N <br /> Address License# <br /> TI"fiI77'11 '17-i1"III'fTl"1"'1TT'7TTi'T1'1'1'ITiI'I1I11-171.II'7T11.T.II-T11"7147-1•T7'17'7'1"I <br /> RESIDENTIAL eh(2)PIct Plens;(2)sets of Building Plane;(1)set of Energy Farms;R-O-W Pemrft for new conaW Won, <br /> Gli�mum fen(16)w6ifQna dey>r elFer sutim7t�data-Requhed are1Ee`Ccnetivatlefi_PfenS;_StartlWaie Pfaim w/Sitt Fence lnetetlsd. <br /> FalSitlee 61 dumpster 81te 11Vor'k Pamft for autidivlelarellerge proJeete` <br /> COMMERCIAL (3)Complete seta of Building Plans plus a Life Safety Page;(1)set of Energy Forme.R-O-W Permft for new eomtruetion. <br /> rd—ten(10)working days alter subrmftfal date. Required cantle,Conabu Won Plana,Sto MWSIer Plane wl Sit Fence Installed, <br /> ry Facilities a,1 dumpster.Site Work Permit for all new projects.All commercial requirements must most compliance <br /> SIGN PERMIT (2)acts of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Dlnetlons.. <br /> Fill out appacad M completely. <br /> owneracontrsign bade of eppleaaon,notedzed <br /> fl over f2500, Notld of Commennmerd Is required. (AIC upgrades over S7500) <br /> Agent(for the ctor)or Power or Attorney(for the owner)would be someone with notarized letter from owner authortidng same <br /> OVER*HECOUNT R PERMITTING (Front of Application Only) <br /> Rerooft If shingles Sewers SwAce Upgrades A/C Fences(Plot/Survey/Footage) <br /> over Counter Ron public roadways-needs ROW <br />