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• 1813-78MO20 City of Zephyrhills Permit Application Fax 813-780-OD21 <br /> Building Department <br /> Date Received qcjl <br /> Phone Contactfor fermitthig- <br /> ............... .................Owner's Name Lennov +IMC5, Owner Phone Number <br /> Owner's Address I Ll(Poo Lp Lwx c )_ f Omer Phone Number, <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address tt <br /> JOB ADDRESS C Lad IQ Va I M uyjq LOT# E= <br /> SUBDIVISION 7i Weyadb PARCEL ID# D4-a W (9 1 00(0 Q DE)O L)- CA 6DJ <br /> '(013TAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED "EwcoNsTRM. ADDIALT SIGN, DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSEMUSE SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> .DESCRIPTION OF WORK- F`7 <br /> BUILDING SIZE F-1 Sa FOOTAGE=. HEIGHT <br /> H 1 41 1 k takillosaut 146 <br /> =BUILDING 1$ VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> ]$ <br /> too <br /> [MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY-= OTHER. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED YIN FEE CUIRRB L_YLN J <br /> Address = License# <br /> ................ <br /> ELECTRICIAN::- COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN-' LYIN J_ <br /> Address License <br /> PLUMBER' ion <br /> COMPANY MCI= I <br /> SIGNATURE. REGISTERED. I Y[W ...FEE cuRREh <br /> Al <br /> Address H 51ii 1 ?Oe+lh 10CM 3rc.55 <br /> MECHANICAL COWMY <br /> SIGSIGNATUREREGI�qTERED j..Y/ N FEE CURRENT <br /> _y N j <br /> Addraw" License#. <br /> OTHER COMPANY` -7 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address <br /> MCIMSs F7 = LJi*nsa#- <br /> Hill <br /> RESIDENTIAL—. , -Attadh'(2)Rl6fPIan_s,(1)sets (4)ibi for nswconstruction, <br /> Minimum tep� <br /> ­'P" Stormwit&'Plahs W/Silt Fence Installed, <br /> thwic on, a.1.0 afterWbrtilttal dati 06441rid dnsIte nt 11' 1 ns <br /> S <br /> anitary tt subdivitIp'.Waroo <br /> COMMORCIAL Attach(3)complete sets bf 13"dildifi413166s"Olu's-a LlfeSafity Page;(I)set of EnergyForms'.R-OW Permit for now construction.- <br /> Minimum ton(10)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 proj6dW.All commercial requirements.must meet compliance <br /> SIGN PERMIT Attactf(2)-sdts of Engineered Plans:""PROPERTY SURVEY required for all NEW construction.. <br /> ------------- <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N over$MD.a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)of Power of Attorney-(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING .-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Mon public roalways-needs ROW <br />