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813-700AO20 City Of Zephyrhills Permit Application Fax-813 4 80-002 1 <br /> Building Department <br /> Date Received Phone contact for Permitfin - <br /> T["F <br /> Owners Name Ti-OILII 1CAL C-L%%)%L, I Owner Phone Number - 1 80- O.'IL101 <br /> Owners Address o\. t7 MAUCT s ILE Owner Phone Number <br /> Fee Simple Titleholder Name LO0.%O EQ1t.Al. t.t.)rJtL OwnarPhoneNumber ^ '`1)Fee Simple Titleholder�A..ddress 2,&3 AP. -2- e-k,w L 2554 - <br /> JOB ADDRESS •r1+_Aob 9Wi 1' \ oNS LAD -Zee t LOTO <br /> SUBDIVISION PARCEL]DR "740^-�,'00010'00100- OO63 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 6 NR9 CONSTR 8 ADDIALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q1 FRAME STEEL <br /> DESCRIPTION OF WORK W O Sz o2 P- 0E S A N , ^MCI; LO MA <br /> BUILDING S17E W O T o - SQ FOOTAGE� HEIGHT 0 r r <br /> TI-fT rT' <br /> BUILDING 5 (U, O O VALUATION OF TOTAL CONSTRUCTION ' g•Q.(yt AlrjE 10 <br /> =ELECTRICAL S AMP SERVICE 0 PROGRESS ENERGY <br /> ENERGY Q W.R.E.C. <br /> =PLLtM1tBINGIr <br /> =MECHANICAL 1$ VALUATION OFMECHAN3CALINSTALLATION ' ' ) ( �cl�"-" l•� <br /> =GAS Q ROOFING Q SPECIALTY = OTHER ! (k S <br /> FINISHED FLOOR ELEVATIONS Ck Ck.11 FLOOD ZONE AREA =YES NO <br /> ` t <br /> BUILDER • /� /g COMPANYAL4sRLl✓ SSOC IgT�S 1-LC. ��1 <br /> SIGNATURE C 'yt�iAQL�['�• C'i,DK4t� nEGSTEREoI Y/ N rEEouRRER YIN <br /> Address 5 Dr;.tit."' Ma s - r•. ( C � 33"1 A 7� I.I.#I U0C <br /> rW '� ELECTAICfAN r�s �JC]bj l j COMPANY <br /> p'' SIGNATURE �tC.}....• P t•C LC> REGISTERED I YIN Fix CURREn Y I N <br /> • dress — <br /> t t Ad <br /> at MBER <br /> `i _a SIGNATURE1, ! i R. Y/N rEe c mRr n Y!N <br /> T't V Address License te <br /> COMPANY <br /> M42 <br /> SIGNATURE � REGIISTOMD I YIN FEE CLIRRa I Y/N <br /> �^'9 Address License 3C" <br /> nTHER COMPANY Allied Roofing, Inc. <br /> SIGNATURE I Y/N FEE Cl1RREN I YIN <br /> Address P.O. Box lk38,Tam a, 33684 Licensed 1 CCC049368 ,—. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms R-O-W Pemmit for new construction, <br /> Minimum ten(10)uerking days after subndflal date-Required onsite,ConslntcYoo Plaits,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pemlft for subdivlsionsrarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for newconslnmton. <br /> Minimum ten(10)working days after submittal dale.Required onsile,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ell new projects.All Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)set;of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> ..-. . . <br /> Fill out application completey- <br /> Owner&Contractor sign back or appRcation,notarized <br /> If over$29oo,a Notice of Commencoment is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the Omer)would be someone with notarized letter from Owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requires <br /> Reroofs if slingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If On public roadways..needs ROW <br />