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813-7804X)20 City of Zephyrhills Pdrmit Application Fax-813-780-0021 <br /> BuNng Department <br /> Data Recehoed I Phone Contact for Pelmdulm F( <br /> I I I'm 6 7a tV ;- <br /> owner�a owwpmwmmdw I Nam 14 <br /> Owner Phone Md. <br /> Ow.W.Address 1-6 <br /> Fee SWWe 71111letwider Name Ovater PWxw Number <br /> Fee S"*71111"dor Address <br /> JOB ADDRESS [ g I S <br /> SUBDIVISION PARCEL=103 R 6 o7i Ot7b "00 <br /> (0fffMM FROM PR PEWTAX NOT M <br /> WORKPROPOSED R MwawM[L_r ADDIALT r__j SIGN M DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER I <br /> TYPE OF comsmt=om M BLOCK M FRAME STEEL <br /> DESCRIFLON OF WOW I ROG, "91C -oat-, —q.7cN 14om <br /> BUILDING SIZEI SQ HEIGHT FOOTAGE F <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL IS AMP SERVICE r_7 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING is <br /> VALUATION OF MECHANICAL INSTALLATION <br /> =0AS = ROOFING Ip SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CUMM Y I <br /> Address I License <br /> ELECTrJCIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURRM LILN J <br /> Address F License# <br /> PLUMBER COMPANY = <br /> SIONATURE L REGISTERED I YIN FEE CURRM L Y t lNj <br /> Address =# <br /> MECHANICAL COMPANY <br /> SIGNAIWRE IMSIMM I YIN FEE CUNW� LZL_N_j <br /> Add. P#1 MIWJ)&, License#Fd7le,b A13 474 <br /> OTHER COMPANY = <br /> SIGNATURE F REGISTERED I Y/N FEE CUPRM LY t N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of BLdWing Plans;(1)set of Energy Forms;R-O.-W Permit for now conshiction. <br /> Wnjmt m ton(10)wWM days"wWWW data. Required onsft Construction Otans,Stomwvater Plans vd Silt Fence Installecl, <br /> Sanitary Fadhbm&1 dwnpster.Siff®Work Permit for sL6&vmiorwJIwgo pplacts <br /> COMMERCIAL =(2)t:jxTqA8tB= M am plus Safety Paw.(1)set of Energy Forms-R-O-W Permit for new consbuctim. <br /> (IO)W C:;:T Site Plans <br /> =Required onsift.Construction Plans,Storawwater Plans w/Silt Pence installed, <br /> Sanitary Facilities&I dumpstiar.Site Work Permit for all now projects.All commercial requirements must mad compliance <br /> SIGN PERMff Attach(2)sets of B4neered Plans. <br /> PROPERTY SURVEY required for all NEW&xstrtrcion. <br /> Fill out appucallon completely. <br /> owner&Contractor sign back of application,notartted, <br /> .Now$2500,a Notice of Commanconertt is tv*dred. (XC upgrades over$7W0) <br /> Agent(for the conTc"or)or Power 6tAttorney(forttte ownet)wadd be someone with noamd letter from owner authorizing Sam. <br /> OVER THE COUNTER PERMrrnNG (COPY Of contract requited) <br /> Reroofs if r.-tWoes Sewers SwAce Upgrades A/C Fences(PlcVSmey/Footage) <br /> DdvewaywW over Counter N on pubric madways..nseds ROW <br />