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SIX780-OD20 City of Zephyrhills Permit Application FaX-813-78D-0021 <br /> 80ft Department <br /> Date Received -now Contact for Peffnfflmg 1( 760,a <br /> 111195651 21 . 1a . . . . . . . <br /> Ovaler's Nano D Phone Pho Number <br /> Owner's AtIftow z?AY I Owner Phom Nut 1w <br /> Fee Simple TdIabower Name Owner phone Number <br /> Fee Sim*Titleholder Address <br /> .WWDRESS 137J6-62 Mtyewily P747e— Me- LOT# <br /> Of ' <br /> SUBDIVISION F pA.Cmw,[, .1b �T 01 7 0 <br /> (OSTARM FROM PROPERTY TAX NOTICE) <br /> won PROPOSED NEWCDNSrF,5 ADDIALT SIGN DEMOUSH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q STEEL 71 1 <br /> DESCRIFrr-ON OF WORK Res. #17e- Al Zod MOM <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> LiBUILDING. . . . . .$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> 2ZJ;MECHANICAL is 814:)r4o VALUATION OF MECHANICAL INSTALLA71ON <br /> =CM = ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILJOER COMPANY <br /> SIGNATURE REGMTERED I YIN FEE CURREh I YIN <br /> Address I Licansait 7 <br /> ELECTRICIAN —IICOMPANY = I <br /> SIGNATURE I REGISTERED I YIN FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE l REG I Yf N PEE r-uR— LILN.J <br /> Address —1 ucBnas# <br /> MECHANICAL COMPANY <br /> SIGNATURS RECASTERED I YIN Fmcufdu]' YIN <br /> Add. If& W License#Fja/-90-0 <br /> OTHER COMPANY = <br /> SIONATURPS REWSTERED I YIN FEE CURREN Y I N <br /> Address u.* <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets d Sm"Plans;(1)set of Energy Forms;R-O-W Permit for now construction, <br /> WIMLUn ten L(JO)wor"days after submittal date. RequhW ensue,Construction Plarm Stontruvater Plans w/Sift Fence instated, <br /> Sanitary Facilities&I dumpstw.Site Work Permit for subclivisionstlarge projects <br /> COMMERMAL Attach(2)complete sets of stdidting:Pbans PW a Ufa Surety Paw;(1)set of EnerW Formr.R-O-W Permit for new consbuction. <br /> W—ton(10)waftV days alter-Whittal date Re7xfW onsita.Oonstruction Plasm SWmwrftr Plum wl Silt Fence in$tE11eKL <br /> Sanitary-FaciTAIesA 1 durrmster.Sb Wak Perot Wall now projects.AN cornmeidel requirements must meet=*Wrw <br /> SIGN PERMIT Attach(2)sets of Enpmmd Plans. <br /> PROPERTY SURVEY mqtdred for afl NEW construction. <br /> . . . .. . . . Nam <br /> FBI Ow application completety. <br /> Owner&Contractor sign back of awficatim notarmad <br /> If over$2SCO,a Notice a!"Compencement is reqrdrerll. (AlC upgrades aver S75N) <br /> Agent(for the contractor)or Power of Aftney(for the OwRw)would be someone with notartzW lefterfrom owrw authortnng same <br /> OVER THE COUNTER PERMITTING' (copy of contract required) <br /> Remofs if shingles Sevmrs service L4)grades AIC Fences(Pk*Survey/Footage) <br /> Drlvewajfs;-Not overfCouinter doiin'piubk rdadwvys:.heeds ROW <br />