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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recelvled <br /> Phone Contact for Permitting (FIE 13 � 310 q2A <br /> L <br /> ........... ...... .. rn'I................ liA� <br /> Owner's Name 97 <br /> Owner Phone Number 712.—- ,6 a&- 14-5 <br /> [Owner's AddressFion uopu<A I?- Ak1Rq4W(//A 5 Owner Phone Number �_, -'4 3 <br /> Fee Simple I Titleholder Name 114EYL jai IC6 Owner Phone um F_ <br /> one Number <br /> Box o41o , 5:rouk 5-AU,S b. 51/0 <br /> Fee Simple Titleholder Address. q 6. <br /> JOB ADDRESS F4-0311 ERSE EALL AORNU5 <br /> LOTA <br /> SUBDIVISION PARCEL nal 112 f 6 7.2. 0010 005-00 loon <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> I <br /> PROPOSED USE 0 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0> BLOCK Q FRAME <br /> STEEL <br /> DESCRIPTION OF WORK IbAljqk, 4 vle,5_ :6PAC_E_: Ahl,A PPrP--n A 1- kF_=0SL <br /> ;Lo"'944 zo'01 sQ;BUILDING.�SIZE FOOTAGE[ $$Q HEIGHT r20 <br /> i l 1 2 <br /> F2K61,11LDING 4.3q VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL AMP SERVICE P G S EN E.0 <br /> pwto F-A A6Y <br /> =PLUMBING <br /> .2ZA" <br /> MECHANICAL 1$ VALUATION OF MECHAN I A <br /> Y7,-70 0.00 1 <br /> =GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> i, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO U <br /> BUILDER .5e ' MPANY rpy s v% $ R. W6. <br /> 0 <br /> SIGNATURE j7o 'c CO <br /> REGISTERED Y N FEE CURREhl LWN_j <br /> Address 1-tsyl-v aegag&an 14ILLM 134461-0 License C.&C_6 3 7 r-R5 <br /> ELECTRICIAN q( COMPANY e6_1b�o <br /> •SIGNATURE REGISTERED Y1 N I FEECURREN 01 Y-/N <br /> Addie'is License# <br /> PLUMBER ~VCOMPANY <br /> SIGNATURE <br /> REGISTERED FEE CURREN 99 Y/N:' <br /> Address License# 1C- <br /> MECHANICAL MPANY &w <br /> SIGNATURE REGISTERED. A Y./ N I FEE CURREN La N . <br /> Address <br /> License# <br /> 7 FP" <br /> COMPANY <br /> OTHER, <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN. LKLN J. <br /> Address License# <br /> Wf <br /> ii 14;k!1 <br /> A E 8 1 D E N T!AL A ttac h_(2 J,Pll 6(�Pl ak_(2�4 4Forms;R-'6.-W Permit for.h6w.constructloh, <br /> -�of8itiidfng_p[ans;"(1.)set,6fEde�6y. <br /> Wimum"'ten'(IbyVvorkifib da'ys"after sdbmftId6te.,ReqUIred ori-s-Ite.—Construc#o—nPlaiii,—Stormwater Plans wf—S—JIt_Fe_n_cd­m§ff4—ed, — <br /> Sanitary Facilities&1_dumpstet;Site Work Permit for subdlyisions/large projects <br /> -COMMERCIAL Attach(2)complete seli�bf Building Plans,plus a Life-.SafetyPage;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> 'MIhimurn'ten(10 1)-workih days aftersub I mittald6te. Required onsite,Cdh6truct16n--Plins,-Stormwate Planiw/Sil Fdfice installed, <br /> Sanitary Facilities ii 1 dumpster.Site Work,Permit.'for all,nbw projects.All commercial requirements.must meet compliance <br /> :SIGN PERMIT Attach'(2)sasi'401 1 66i,neered Plans. <br /> ****PROPERTYSURVEY required for all NEW construction. <br /> flIt'Out application completely,-, <br /> owneF'&Cbnbraotbr•sion,back.of,appjicaUon,.notarized':,.-' <br /> If over$2500,a Ndtic6 of Commencement is required. (AIC upgrades over$7500) <br /> :Agent'.(f0f'fte contractor),-or'Powerof Attorney(for the owner)would be someone with notarized letter from owner au*thorizl'n g;*same <br /> 'bVEkTHE:1C0UNTER PERMITTING '.(copy.6f contract required <br /> RerOofs'lf-shingles Sewers Service Llogrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />