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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received a Phan -Contadt for-pefmttting- D1 5-7,F( <br /> r7177TTTTr long ... rrrTm <br /> owner's mama LtnnnV AADMIC5 Owner Phone Number <br /> Owners Address IHLQCO LAD CQ-1--VC55 St, Owner Phone Number <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS OCAWf�Qn ChX LOT# <br /> SUBDIVISION thxv, f PARCEL IDNI-aH - D t DD-D-C—CCO.- Q a aD <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADD/ALT SIGN- DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSEMUSE ' -SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION 0BLOCK FRAME STEEL <br /> DESCRIPTION OF,WORK 1 Y1540 11 <br /> BUILDING SIZE SQ,FOOTAGE=: HEIGHT <br /> 2 2 1 1 1 1 <br /> =BUILDING VALUATIOWOF-libTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ -v <br /> LA-1 <br /> =MECHANICAL VALUATION OF MECHANICAL I-NSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> ............ <br /> .............. <br /> BUILDER COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License#'1 <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREIi- 'LLyLN J <br /> Address License# r <br /> PLUMBER , COMPANY I- flmdevtDi mi�ct4fov) <br /> SIGNATURE: REGISTERED -FEE CURREN.- YIN. <br /> Address R511 R>aNtocm N�rj- <br /> -nse a 50 <br /> MECHANICAL COMPANY <br /> SIGNATURE. RE -6TE Y/ N. -1. FEE CURREh: -LIL-_N_j <br /> Address License <br /> COMPAA <br /> SIGNATURE :REGISTERED I" Y N—j FEE CURREN J. Y/N <br /> Address License#-F--- <br /> .............. ...... HHH <br /> RESIDENTIAL',: Attach df-1661kiih (I)- CfEniiig -F1wO-W--P6miit fdrnew,consirpotion., <br /> -Cdhs66cfion'0I -t-Plihs i Sift Fence Required onsito, ans�'gtonnwate installed, <br /> Sanitary qqs,'&1,,dum0s Site Work Permit for subd! gnSfiftep <br /> OMMItRCIAL Attach(3)complete-sets of Building`131ins"pl6s-a LifeSality Page-,(1)Set of Enarl;;jOorms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit_' ic-for all newwprojdets-All commercial requirements,must meet compliance <br /> I PERMIT Attadf(2)'siitsbfEiigliieirid-Piiins. <br /> ****PROPERTY SURVEY EW.00nstructlon.. <br /> I�qq for ajI,N <br /> -r-.....SURVEY <br /> out application completely. <br /> ier&Contractor sign back of application,notarized <br /> or$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> (for the caniradtor)or'Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> COUNTER PERMITTING :(FiontdfAppllcadon Only) <br /> ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> s-Not over Counter Mon public roadways-niedi ROW <br />