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i3 <br /> 813.780-0020 City Of Zephyrhills Permit Application FMC-813a8a0021 <br /> Building Department <br /> Date Received Phone Ccrdaetfor ��✓ p— '�l✓Owners Name {} <br /> Q / �NStfi� Owner P Ntonber O 13 - J�( <br /> OwneesAddress 6t? own"PhowNumbar- <br /> Fee Simple 710d alder Haire. Owner Phone Nlmiber <br /> Fee Simple Titleholder Advdress �s <br /> JOB ADDRESS `o- r�t7' +G+P r ,nh;l- Ay 1AT# <br /> SUBDIVISION [--F "� PARCEL IDY * rsL? 0'�1 G/V 4 714 <br /> (MANW FROM PR FMM TAX MOTIM <br /> WORK PROPOSED NEW COMM K ADDIALT �} SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK <br /> L <br /> �[� FRAME�7 = STEE <br /> DESCRIPTION OF(WORRKK d (� f�/V P�"LPL ' 7 O / <br /> BUILDING SIZE i SQFOOTAGE HEIGHT <br /> "BUILDING VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL (S— AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is <br /> MECHANICAL $ W -5': VALUATION OF MECHANICAL INSTALLATION <br /> =CAS 0 ROOFING IQ SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER L COMPANY <br /> SIGNATURE RMC-18M R0 I Y 1 N FEE CURREA /Y!N <br /> Address Licenses <br /> ELEt�SIGNATURE REMSTa ED I YIN FEE CUM Y N <br /> Address License# !� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y f N FEE CuRREn I Y/N <br /> Address —111�111-111+1—._—T.� LCer.#! <br /> MECHANICAL w COMPANY <br /> SIGNATURE REGISiMRED I YIN IEEE CuMn,�A,.,Y t N <br /> Address 'T"TI l 11J/l license# �/T�+r/ � <br /> OTHER COMPANY <br /> SIGNATURE REGMTEFtED I YIN FEE CURRO, Y t N <br /> Address Li-4 <br /> 1III i1111i1 toile 11-11.11.11,17I1,111111iiiilillil-illClihi1111111 I'll 1P111 <br /> RESIDDI TiAL Attach(2)Plot Ptak:(2)sets of Bmidmg Pura:(1)set of Energy Forfns;,R-O-W Pont for rliu construction.. <br /> KnImum ten 00)worft days aftitr submttla)date Required bnsite.Construcbon Mans;Starmwater Plans w1 Silt Fence installed, <br /> Sanitary Fa0dw&1 OmV star;Site Wait Permit for subdivmWollarge majeds <br /> COMMERCIAL Attach(2)complete safs•of Building Plans On•1113 Safety Papa;(1)set of Emergy Forms R-O-W Permit for new ao vAruction_ <br /> Onsnum ben(10)woad days af6w mibmittai data Required amsim,CaWmadon Ptans,81amnvater Putts wl aft Fence installai, <br /> Sodary Fau fps&f dur ..Site Work Permit for 88 new projects.AN commensal requirarnarmts must inert compiianee <br /> SIGN PEWX Attach(2)sets of B*mmd Hans. <br /> ""PROPERTY SURVEY mqured for all NEW consirixton. <br /> . . . . . . <br /> Grfreet7ons: <br /> Fill out appucatioa compiatelIt. <br /> Owner&Contractor sign back cf application,noWtwd <br /> If over$2500,a NoSaa of Commencement Is ratted. (AX upgrades over 67MO) <br /> Agerd(far ttie contractor)or Power of Atforriey(for the amw)woWd be sometime wflh notwm)d Iatfer from owner authotiang same <br /> OVER THE COUNTER PE1i211TTING' (copy of b6>,r required) <br /> Reroofs if sWmales Sewers ,Service Upgrades AfC'.- Ferxes(PIot/Sruvey/Ftmtage) <br /> Driveways-NOt arer Counter if at public raadways.aisefs ROW <br />