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Qty'of Zephyrhills Permit Application FeX4H3-780AD21 <br /> Building Depsrftnent <br /> Date Recelved Phone Contact for Permitting Ilt7rtn. <br /> Owner's Name C Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J -toOBADDRESS L1115S21 JIJCU�611—� C TO <br /> SUBDIVISION 19��\#e-e�--CAQ PARCEL IMF <br /> (OSTMEO FMI PROPSITY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN 0 r—j DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q COMM d OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BLULDING SIZE SO FOOTAGEHFJG14T <br /> —ff,3U. . . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. . . . . . . .... . . . . . . . .. . . . . .. . . . . <br /> ILDING r I VALUATION OF TOTAL CONSTRUCTION <br /> MELECTRICAL S AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> \Fr_3PLUMBING <br /> MMECHANICAL .18 VALUATION OF MECHANICAL INSTALLATION <br /> r—IGAS [Z] ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 1 1 FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Aim <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FESIOURRIN Lj4NJ <br /> Addreso Licensed <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE 1 REGISTMW I YIN I FEE CURREN <br /> License <br /> PLIUMBE111 COMPANY <br /> SIGNATURE RMSTERED Fee CUl"MN I YfN <br /> Address Limoe# UF IL <br /> MECHANICAL COMPANY <br /> .SIGNATURE REGISTERED I Y/N FRECURRa <br /> Address License 0 <br /> OTHER COMPANY <br /> SIGNATURE REGIVIERE0 I YIN ME CURREN <br /> Addroas License 0 <br /> '1111111 fill <br /> RESIDENTIAL Attach(2)Plot Mans;(g)sets of Building Plans,.(I)set of Energy Poms-.R-O-W Permit for new Construction, <br /> Minimum ten(10)working days aftersubmittel date. Required onsite,Construction Plans,Slarmwater Plans w/SHt Fence installed, <br /> Sanitary Facilities&I dumpster;SK9 Work Permit for subdWislonsfieW projects <br /> COMINIMMIAL Attach(2)complete safe of SUI COO;Piero plus a We Safety Pagw.(i)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal data. Required onalte,Construction Plane,Starmwater Plans wt Silt Fence Installed, <br /> Sanitary Facilities&I dumpSteir.Site Work Permit for all new Projects.Ail commercial requirements most meet compliance <br /> SIGN PERIL41T Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dir"Ilons: <br /> FM out application completely. <br /> Owner&Contractor sign back of appflcatlon,notarized <br /> flavor$2600,a Notice of Commencement Is required. (A/C upgr4doo avor$7600) <br /> Agent(for the contractor)or Power Of Attorney(Tar the owner)would be someone with notarized latter from owner autherWag same <br /> OVER M COUNTER PEWHTTING (copy of contract raqukeii) <br /> Rercarsir sftgLo Sewers "Service Upgrades A/C I—(P1o!(S—y/F*ctago) <br /> Ddveways-Not over Counter tr an public madways.,neads ROW <br />