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813,-780-OM City of Zephyrhills Permit Application -Fax-813-78D-0021 <br /> Data PccehVd Phone cpTmcc for57 13 1 19D. <br /> - <br /> O <br /> . . . . . . . . .F3Ga-Q57. <br /> ll"011'smarne 1=hd1-T(fM 0-G C--1 Owner Number <br /> Florida ftwe 5h,700 . I <br /> Fee Simple 7ftleboldw NNW Ovam Phorie Number <br /> Fee Simple MUeh~Address <br /> J013 ADDRESS 16057 Parkh;jj-Fc-rr bQ, MT r-� . <br /> SUBDIVISION 112a r PARcEL,D#jQoe1-5R0—c9,(t—00X-05 W- 0-601P <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK,PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR COW OTHER I <br /> TYPE OF cowRucmom = BLOCK FRAME STEEL ] I I <br /> DESCRIPRON OF WORK g7gual,416 j Q-TO/V Vll� <br /> BUILDING SIZE SQ FOOTAGE HOO14T <br /> . . . . . . . . . . . . .. . . . . . . . . . . . . ... . .. * . . . . . . . . . . . * . . . . . . . . . . . . . . . .=BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 5 AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUAMING Is <br /> Mn'h; 'HANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =CM r—j ROOFING p SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE FWGtSTERED I YIN I FEE CURREK LyL N <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREI, LjLN J <br /> Address F- Uoertsed <br /> PLUMBER COMPANY <br /> SIGNATURE 1 REGISTERED I YIN FEE CURREN <br /> Address —1 Lice—it F— <br /> MECHANWAL COMPANY -aLLI;ffimm C-askme-Zhic-1 <br /> SIGNATURE REGISTERED I YIN VEEMiRim I YIN <br /> Address If 4 0-1 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plaw,(2)sets of Willing Pis—,(1)set of Energy Fww,R-O-W Permit for new construction, <br /> WhIlmum ton(10)working days Idler subs"date. Repaired onsits,Construclim Plans,StormwIlIter Plans w/SIft Form Installed, <br /> Send Facilities S,I dwTq3stw,Site Work Permit for subdiviskmWlarga,projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety <br /> Page,(1)set of Energy Forms,R-O-W Permit for ow construction. <br /> Minimum ton(10)working days Mar submittal date. Required onsIts.Construction Plans,Stormwater Plans w/Sul Fence installed, <br /> Sanitary Facifibes&1 clumpster.Site Work Permit for all row projects.All commercial nxpirements must most compliance <br /> SIGN PERMIT Attach(2)sift of Engineered Films. <br /> —PROPERTY SURVEY required for all NEW ocristruction. <br /> . . . . . . . . . . . . . . <br /> Fill our application completely. <br /> Owner&Contractor sign back of application,notarbIed. <br /> N over SM,a Notice of Commencemort Is required. (AIC;upgrades over$7500) <br /> Agent(for the cort-cto).or Power ofAttomay(far the owner)would be someone with notarized letter from owner auttioruting same <br /> OVER THE COUNTER PERMITTING (copy of embed required) <br /> Remoft if shingles Sewers Swvlw Upgrades A/C Fences(PlotfSurvey/Footage) <br /> Driveways-Not over Counter if on"to madways-nee ds ROW <br />