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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-W21 <br /> Boil ins Department <br /> Date Received phona conted for Pennitfing <br /> owner's Name owner Phone IlAunber <br /> owneft'Addressl5k)JITti Sh 1.4 hd� LoAo o—Phone Number F <br /> Fee Simple rifthaida Neale owner phone Number <br /> Fee Simple TMd~Address F-- - <br /> JOB ADDRESS I 52 elff IdAv L0.0-P LOT 0 <br /> SUBDIVISION F— PARCELW#1 (06TARM FROIII PROPERTY TAXROTIM <br /> WORKIPROPOSED taWCDWRED ADDlALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME MM F- <br /> DESCRIFWN OF WORK <br /> BUILDING SCM SQFOGTAGje HEIGHT <br /> . . . . . . . . . . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL rS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> a!�MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =CM r7 ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SMNATURF I REGwrERED I YIN FEE CURREN LLLN <br /> U. _j <br /> Address , # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO I YIN FEE WFIRB LILN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REOrSrFREO YIN FEE GUNUM <br /> Address U.# <br /> MECHANICALiZ� COMPANY 14ye <br /> SIGNATURE REGISTERED I YIN FEE CUFJIEI+ L_XLN J <br /> Address A-IleA) Rd.Z— License# <br /> OTHER COMPANY <br /> SIGNATURE REOWERED I Y/N FEE CUMM, I Y/N <br /> Address F— Ucense#I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of 8000 Plans;(1)set of Energy Forms;R-O-W Permit for now construction. <br /> Nftmum ten(10)working dap after subinflik!date. Required onsits.Construction Parts,Stormoater Plans wl SM Fence installed, <br /> Sanitary Facilities&1 dwrnpster Site Work Permit for subdvWomftrge pr*cts <br /> COMMERCIAL. Attach(2)complete sets of Builcling-Plans phis a Life Safety Page;(1)set of Energy,Forms.R.O W Permit for now construction. <br /> Mi—tan(10)worlang days afterstibmittel date. Required ornift CaWitiction Plans.Stormwalar Plans w/Slit Fence installed, <br /> Sanitary Facilities&I clumpster.Site Walk Pennit for'all now projects.Ail commerdal jecitarements must meet compriance <br /> SIGN PERMIT Attach(2)sets of En ',wred Pla <br /> ns. <br /> arta. <br /> —PROPERTY SURVEY required-torah NEW construction. <br /> I a a a a a s & a m a . ...,... . . . . ... II ., 11 a a v a a , 2 2 <br /> c W!ox wr. .-a <br /> Dir <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> flow$200,a Notice ofCommenctsnent is required. (NC upgrades over$7500) <br /> Agent(f-the contractor)or P-91'Attorney(for the Owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERWMNG (copy of pantrad rewred) <br /> Remofs if shingles Sewers ServiosUpgrades-AIC, Fences(Flot/Suiveyfficotage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />