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813-780-0= City of Zephyrhills Permit Application Fax-813-78D-W21 <br /> BuNng DeWtment <br /> Date Received 5411,4? <br /> .. . . . . . . . . . . P . . . . 1-11 4299 . 49454 .4- <br /> Ownees Name, &,4, C"nw .Pt, Numb. 1/9 W g- - <br /> owners Address '5*7,4t6tQ Cs 717 &e- Owner Phone Number <br /> Fee Simple Titleholder Nam F- owner Phone,Number F <br /> Fee Simple TWWW"Address <br /> JOB ADDRESS UN6-0 AbriioN,577771 LOT <br /> PARCEI.SUBDIVOICIN F 9f 0?6 Al b/W 0-0440 18'90 <br /> (OITTAKED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW awsTRr4-;;r' ADOfALT F--1 SIGN DEMOLISH <br /> R INSTALL Q REPAIR <br /> PROPOSED USE Q Sm Q COMM OTHER I <br /> TYPE OF cousTwanoN BLOCK FRAME Q STEEL <br /> DESCRIPTI-ON OF WORK e- <br /> zaf .9,Jr TvAi <br /> BUILDING SIZE SO FOOTAGE F----] HEIGHT <br /> r—JBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> [MECHANICAL 1$ / VALUATION OF MECHANICAL INSTALLATION <br /> r—JC-AS r7 ROOFING r7 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . . . <br /> BUILDER COMPANY = <br /> SIGNATURE REGISTERED I YIN ME CURRa LILN J <br /> Md,. License#F <br /> ELECTRICIAN 1 COMPANY <br /> SIGNATURE 11 REGISTERED I YIN FEE CURRM LILNJ <br /> Address License# <br /> PLUMBER COMPANY = <br /> SHMUM 1lli REGtsTt3RED YIN FEE CURL LiANJ <br /> Add. License#r <br /> MECHANICAL ~ fr COMPANY 9=04OWN—A219 <br /> SIGNATURE REGISTERED I YIN FEE CURREN I YIN <br /> Address License# <br /> OTHER COMPANY F <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN L_XLN J <br /> Address License#F- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of BulWing Plans;(1)set of Energy Forms;R-O-W Peffrdt for row construction. <br /> Wimum ton(10)waft days after submittal date. Requited onsifte,Constniction Plans,Stoirrmster Plans vd Sm Fence Installed, <br /> Swiftry F=Mws&I dwnpstar Site Work Permit for subtfivisionsilarge projects <br /> COMMERCIAL Adach(2)cornpieta soft of BmWing Plans WASS a Life Seely POW,(1)set of Energy Forms.R-OmW Permit for now oonstructimm <br /> Minimum ten(1o)womng days aft"submittal data. Required OrtSibD Construction Purrs:SWmwoatw Plays wi Silt Fence ins led, <br /> Sanitary Fatties a I dumpster.Site Work Permit for efl new Projects.All commercial requiremarru;must MGM WmPWwxe <br /> SIGN PERMIT Attach(2)sets of Engineared!Ram <br /> ""PROPERTY SURVEY required for all NEW 6xistruction. <br /> .6464464 - <br /> Dhvcdwts, <br /> Fill W application completely. <br /> Owner&Contractor sign back of application,notartmd. <br /> If over SM,a Notice ofCommenc-MIrd Is-qub'A (AlCuparades over 1117500) <br /> 'Agent:(for the contractor)or Power of Aftomey(for ft owner)would be someone with notarized letter from owner autliotting Sams <br /> OVER THE COUNTER PERMITTING (copy of conbact-phW) <br /> Raroofis if shingles Sewers Sarvwa UpWades AIC, Fences 0*WSurveyfFootage) <br /> odvewayz44ot mw Counter If on public madways-reeds ROW <br />