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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received Phone contad for Perm"Ithm 1( 9/S) 7-'Z-550 <br /> login r-ff-1r-r.-r-T-r 5 <br /> owners Name rr owner Phone Number <br /> Owner's Addmss Owner Phone Numb" <br /> Fee Simple Tiffebolder Nam Oumer Phone Number <br /> Fee Simple Mdehoider Address <br /> JOS ADDRESS Aw- LOT# <br /> SUBDIVISION <br /> (0EMANWIRIMPROPOWTAX11107M <br /> WORK PROPOSED NEW 0WGrRFq'ADD1Al.T SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPr.ON OF WORK h&1v zw --oz A <br /> BUILDING SIZE I SQ FOOTAGE,= HOOK <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =rLUMBING is <br /> =MECHANICAL Is Z-S,�L4� VALUATION OF MECHANICAL INSTALLATION <br /> CA$ r7 ROOFING 0 SPECIALTY =. OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Yes NO <br /> BUILDERCOMPANY <br /> SIGNATURE F FMGWrBRM I YIN FEE CURREK Lj LN_j <br /> Address I u-#F- <br /> ELECTRICLex 13 COMPANY = <br /> SIGNATURE L fmosTSUD I YIN FEE CURM LjLN_j <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN <br /> Add. License#I <br /> MECHANICAL COMPANY ljg'91W P1-W1?We6qq,- -f Ale <br /> SIGNATURE REGISTERED I YIN FEE CUFFEh L_X.LN_j <br /> Address )WleA) <br /> OTHER COMPANY <br /> SIGNATURE l REMERM I YIN FEE CUM!, I YIN <br /> Add.. uoansG# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets d Buildng Plan(1)set of EneW Forms,R-O-W Permit for now construction' <br /> Minimum tGn(10)wor"days after subrnfttal date- Reqjfted onsite,construction P .lans,Stormwater Plans SIR I Installed, <br /> SanitaryFaciWas&1 dumpster.Sits Work I far <br /> COMMERCIAL Afton(2)complete setScf Bulklng�Plans Z.ftft Forms.R-O-W Permit for new construction. <br /> hftmwn ten . days aftet:ssbrtditai data ReWirad ortsits,C4ns#ucbon Plans.Stormwater Plans wl SIR Fence installed, <br /> Sanitary Facirtias&1 dumpster.,we Wo;k Permit foraff new prefects.Al commercial requirements must meet compbricer <br /> SIGN PERMrr Attach(2)setr.of Enginaered Plane. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . " --- -- - - <br /> F-111-out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Cana'nanc0ment upgrades over$75M <br /> Agent(for the %tnictor),q"r,.0`o'wei'of Aft"orney'(for the owner)would be someone with notarized le6f fiorn'owner audIortEing same <br /> OVER THE COUNTER PERMITTING -(copy of contract <br /> 6ntract reWlrad) <br /> Reroofs if shingles Sewers SmIce Upgrades:A/C Fences(PbUSun(ey/Footage) <br /> Driveways- <br /> Not over Counter rf on pubile roadwayso.needs Row <br />