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813-780-0020 City of Zephyrhills Permit Application Fax 813-78MO21 <br /> Building Department <br /> Date.RacelvedPhonwContactfor Permitilno. <br /> ....I...—.......A ZZ<................ <br /> Owner's Name LAMY"Otr tjW Owner Phone Number <br /> Owner's Address H WM M NQLCna , Owner Phone Number <br /> Fee Simple Titleholder Name. Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 13bi Le V WOO I e %IM Ulm LOT# <br /> SUBDIVISION bl W ffn PARCEL 1001 t9w aceo- 00500 CGID <br /> A6 I . (OBTAINED FROM PROPERTY-TAX NOTICE)- <br /> WORK PROPOSED' g <br /> - nwcowRR, ADDIALT' SIGN- DEMOLISH <br /> ANSTALL REPAIR <br /> PROPOSEMMSE Q SFR F-1 Comm OTHER I <br /> TYPE OF CONSTRUCTION 0 -'BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK. a DY) n5ic1.t I <br /> SQ'FOOTAG BUILDING SIZE E HEIGHT' <br /> =BUILDING. VALUATION OF TOTAL CONSTI2t1CTION <br /> =ELECTRICAL 1$ AMP SERVICE CJ PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING 1$1 00 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - <br /> 4.4 <br /> A 4 A 1-111 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License 4l <br /> ELECTRIC) N, Co MPANY.. = , .I - . <br /> SIGNATURE REGISTERED Y/ N FEE CURREF° 'LMN—i <br /> Address License <br /> PLUM%IR COMPANY I Y U04-i Dn <br /> SIGNATURE' �A REGISTERED Y./:,.N.- FEE CURREN Y-M <br /> Address . , <br /> License# U Qq <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN: <br /> Address- <br /> OTHER COMPANY <br /> Y/ W <br /> SIGNATURE REGISTERED FEE CURREI, <br /> Address License#- <br /> Ft,14 1 1 1 1 11111 111111 11111111 11 1 1111 11 1 11111111 1............. <br /> RESIDENTIAL- Attach(2),Pjdt*,.Plans;_(2)i6ts.of'ti6ildi*ng'.Pliifs;"(I)ii)iof-t64�-F06t';-,'R.0 m6WiPermli for how 6n!slt6,- -n Plans construction,. <br /> Minimumaen;(:1Q):vvorkingAays after,submittal'dafe:.Required 9W66h*1a' `2ft wat rPlihs wl Silt:Fence Installed, <br /> , <br /> Simliari tqallties-., for iiUbdMog�(s#atgip-projects:,- <br /> COMMERCIAL Attach(3)comoletesets'of Building Mani plus a Llte Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(16)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)sets of E69 Oed.Plins.,.- . ,-, . . , <br /> ****PROPERTY SURVEY Tqqq1r@j for all.,NEW construction. <br /> ;A:A4TR ......... I. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the'awner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -,-(Front of-Application Only) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if onpublic roadways-nieds ROW <br />