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813-78MO20 City of Zephyrhills Permit Application Fax-813-780a21 <br /> Building Department <br /> Date Received ���C phone Contocl for Pennittin <br /> Owners Name LOi+�f OA CAL C.C 1 Owner Phone Numhar <br /> Owners Address Oo%J� Aa.0 J R.s. Owner Phone Number <br /> Foe Simple TdleholderNamc L00.ip(; E�ILAI- �b1P11( � Owner Phone Number <br /> Foe Simple W011older Address US LV� � 2 L1A,,w <br /> JOB ADDRESS -1LAeJ,0 '9WD ° 1 NS o Z P It LOT# <br /> SUBDIVISION i PARCEL ID#IDA'7.b-1%-0000-00100— 00 bt <br /> �L (OaTA1Nm FROM FROPEMN TAX NOTIM <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT (_] SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Comm = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK try o S-T o P, 'FLEE. SETA M , 'o rt-r 1E vETC P <br /> BUILDING SIZE W O To SO FOOTAGE HEIGHT O I-O►r <br /> BUILDING 1'53. <br /> VALUATION OFTOTAL CONSTRUCTION <br /> 100 o ST.rotwT�A'�' <br /> =ELECTRICAL $ AMPSERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION ( t/ (5� �/ <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I Ck Ck mofjAiipFLOOD ZONE AREA =YES NO 1 %e <br /> BUILDER COMPANY wAVliRc(= 910o -rrs LL(- <br /> CMGs ES; 2 A.�N1 <br /> SIGNATURE REGISTEREDY! N I FEEcuRREn I YIN <br /> Address 1A� 1.. L - S-r.?FTf F �3,�1�03 License8 I aoc <br /> ELECTRICIAN COMPANY <br /> ' SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> 1 PLUMBER COMPANY mo-jr <br /> SIGNATURE �{.�(AC� , ` TREGISTERED Y.I� �I FEE CuaR !N <br /> 13(�L�^� Address U� N. \ �' �JtPI NcenseG <br /> SIGNAAlaCAL COMPANY <br /> SIGNATURE I YIN FEE cw:REn LILN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEM CURREn I Y/N <br /> Address License S <br /> tlllllllllllllllllllllllllllllllllillllltltllllllllllllllllllllllll � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of SuldhRg Plans;(1)eat of Energy Forms;R-O-W Pemdt for noweonsWetisDn, <br /> Minimum ten(10)woridrg days after submitlal date.Required onsits,Construction Plans,Stormwater Plans vrl Sit Fence installed <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdnAsior slierge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms,R-O-W Permit for new Construction. <br /> Minimum ten(10)worldrg days after submittal date.Required onslte,Constnxtlon Plans,Stamlwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AD commercial requcemeMs must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DIreCtUons: <br /> Fig out app0cation completely. <br /> Owner&Contractor sign back of appilcatwn,notarized <br /> Ifevor$2SOO.a NoBcs of Commencoment Is requlmd. (AIC upgrades overSTt100) <br /> Agent(for the contractor)or Power of A@omry(for the owner)would be someone with notartzed letter from owner autho&g some <br /> OVER THE COUNTER PERMITTING (Copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Drivoways-Not over Counter Non public M26vrdys-needs ROW <br />