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813-780-002D City of Zephyrhills Permit Application Fax-813-780-0021 <br /> BuMng Departnient <br /> Date Re=hVd Phone concha!fOrP017111111ing F <br /> ME371 <br /> _A? 0 <br /> owners NNW Owner Phony Handier <br /> ftl?left ��1;2460 .0-7 j// Own"Phone Nuntber <br /> Fee Sluiple IfIlleholder Nam F- i �J, Owner Phone Nona. <br /> Fee Simple TilleftoklerAddress <br /> JOB ADDRESS eq;lldve LOTS <br /> SUBDIVISION PARCEL tw[ <br /> (GEMADIED FROM PROPERTY TAX ROME) <br /> WORK PROPOSED NEW QDNSTR ADDIALT SIGN 0 Q DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE M SFR Q COMM Q OTHER I <br /> TYPE OF consyRucriom r7 BLOCK Q FRAME STEEL Q ----7 <br /> DESCRIPrZN OF WORK IR&SAle <br /> BUILDING SUE C Sit FOOrrACEF-----] HEIGHT <br /> QSUILDING. . . . . .$ VALUATION OF TOTAL CONSTRUCTION .. . . . . . . . <br /> =ELWMCAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING IS <br /> llMECHANICAL is VALUATION OF MECHANICAL INSTALLATION <br /> MCAS r7 ROOFING M SPECIALTY= OTHER <br /> FINISHED I-1OOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . .. . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE r REGISTERED I YIN I FEECUPREN LtLN J <br /> Add,. I # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 1 REGISTERED I YIN FEE CURRM L.XLN J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> Address License#F- <br /> 1A -1^vo,,q1Va6 JhYe:ry <br /> MECHANICAL COMPANY <br /> SIGNATURE 4 REGISTERED I YIN FEE CURM I YIN I <br /> Address i license#1 MW4�s <br /> OWFA COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEE CURFM <br /> Address Licansalit <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets ol'Bulkling Plans*,(1)set of Energy Famis;R-O-W Pond for now construction, <br /> Minimum ten(10)%aldrigdays alter subinittal date. Rwp*W onsite.Construction Plans,StoirmaterPlanswi SRFenca installed, <br /> Sanitary Faciliff"81&w%pdar SAO We*Pandit for wbffivmionsflarye projects <br /> COMMERCIAL Attach(2)complete sets of BudelIM Plans plus a Life Safely Page;(1)set of Energy Fornis,R-O-W Permit for newconsiTuChOn. <br /> Winturn ton(10)working days after submittal data Required ortsite,Construction Plans.Stommalar Plans wl Sat Fence installed, <br /> Sariltivy Facilities&I durripster.Site Wak Pond for all now piciects.All conunotial raWaiments must numit compliance <br /> SIGN PERMIT Attach(2)sets of Bigineered Pam <br /> PROPERTY SURVEY required for all NEW 6onstruction. <br /> . . . . . . . . . . <br /> Fill out applicaliori cornPletelY. <br /> Owner&Contractor sign back of al*ficafion,notarized, <br /> If over$2500,a Notice of Conanancament Is required. (AIC upgrades over$71XID) <br /> Agent(for the contrac"or Pam of Aftmay(for the owner)would be someone with notarized letter from amer auftftM Sam <br /> OVER THE COUNTER PERMITTING (copy of covered required) <br /> Rermft if shingles Sewers- Servicit Upgrades.AIC Foxes(PlotiSurvey/Footalle) <br /> Driveways Not over CvwTW If on public roadways-needs ROW <br />