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I—.1 . — . — — -- — a <br /> 8%780-M City of Zephyrhills Permit Application Fax-813-781f•0021 <br /> Building Department <br /> Data Ricahrod Phone Corftct for Permlittina <br /> Owners Name Omer Phom Number &L5-79 -12 <br /> omoes Amrasal Omer Phone Number <br /> Fee Simple 711111ahold Name Owner Phone Number <br /> Fee SIMplie Tmand 0 Address <br /> I q <br /> JOB ADDRESS -72 1 UA F0 Itce IS+ LOT# <br /> SUBDIVISION ww o CL PARCEL ID# 4 (40-2 1_02417 0 VQ�(D IQ 0 <br /> (08TANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADDIALT rl'01 SIGN .r7 M DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE r__j SFR = COMM Q OTHER I <br /> TYPE OF eONSTRUC ION M BLOCK 0 FRAME 0 STEEL r7 F — <br /> DESCRIPTION OF W4RK Pt tC- cs,,_�Z Sep Y,hex #/9�&Z_ <br /> BUILDING SIZE SQ;OOTAGE= HEIGHT <br /> IrV111,111 I ' . . . . .. . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRII AMP SERVICE PROGRESS ENERGY M w.R.I-c. <br /> IN <br /> =PLUIMBING 1$ -z' <br /> =MECHANI s L VALUATION OF MECHANICAL INSTALLATION <br /> IRO <br /> =GM 0 ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ATIONS; FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY r <br /> SIGNATURE REGISTERED Y/N FEE CURREh <br /> Address License#F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN Lyj N j <br /> Address License 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREII <br /> Addm" License# <br /> MECHANICAL COMPANY I Am,_"160—s" <br /> SIGNATURE REGISTERED I Y/N FEE CURREP, I Y/N <br /> Address <br /> License#=C( <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK LjLN J <br /> Address Licenses F_ <br /> TIT'"fl-1111 I 1 1111-1 T VVY-111 T I 1 1-1,11 t I'll I 1-1111 1 11 I-IF, I-T 111141114 111-1-"1 T <br /> P R RESIDENTIAL ch(2) lot tam;(2)sets of Building Plans;(1)set of Energy Forms,; -O-W Permit for now oonstructIM <br /> NLmlum tan 10) Ploww/Sit Fen?.*Instailled;- <br /> bry Facilities d,1 clumpater,Site Work Permit for subdMalonsilarge projects <br /> COMMERCIAL (3)complete seta of Building Plans plus a Ufa Be"Page;(11)Set of Energy Forms.R-O-W Permit for new ocnatruction. <br /> Inimurn ten(10)wo"days after submittal date. Required onslite.Construction Plans,Starmwater Plane wl Slit Fence Installed, <br /> nary Factirdes 81 dumpster.Site Work Permit for ell now pirclects.All commercial requiremervits must meet compliance <br /> SIGN PERMIT (2)sets of Engineered Plans. <br /> ROPEMY SURVEY requIrad for all NEW construction. <br /> . . . . . . . . . .A <br /> Fill out appilcai)n oomptelely. <br /> Owner&Contr dw sign back of application,notarized <br /> ff over$2111110, Notice af Commencement larequired. (AIC upgrades over$76M) <br /> Agent(for the 4 3intractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNT-'.RPERNlrMNG (Front of Application Only) <br /> Remalfs N shingles Sewers Service Upgrades A/C Fences(PlottSurveyfficatells) <br /> Drlvewxy&-No over Counter If on public roadways..needs ROW <br />