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813-780-D020 City of Zephyrhills Permit Application Fax-813-780.0821 <br /> Building Depar meet <br /> / pp� �v <br /> Data Rst jived Phone Contact forPetmfStingg ( ?r l 6f - (g <br /> I1ltltll - � - - � - ��- 'T'f'T1 - <br /> Owner's Name L by'Air- p a7+tir ""►`+ I Owner Phone Number 173 <br /> Owner's Address '.7++�0 .'JV 4�iy. P7• 7^:i �®r® Owner Phone Number <br /> Fee Simple Titleholder Nano Owner Phone Number <br /> - = r � <br /> Fee Simple Titleholder Addressf, _ <br /> 01 <br /> JOB ADDRESS 1 O Oil•➢ ' Gt7 I LOTS <br /> SUBDIVISION PARCEL IOA U-zS-1-t- tD10—01 co-Colo <br /> JOBTMNED FROM PROPERTY Tex NUMCE) <br /> WORK PROPOSED NEW CONM 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q Comm OTHER I <br /> TYPE OF CONSTRUCTION Q�J ._eB-L//O)CK Q FRAME STEEL <br /> DESCRIPTION OF WORK l� r^' iL F O 6 r 4J AI~/Ix�L 'j <br /> BUILDING SIZE SO FOOTAGEC� HEIGHT r rl _ .- <br /> Cs ,g�1 <br /> $ VALUATION OFTOTAL CONSTRUCTION $ 4�� i b[D ' 190 <br /> r <br /> I/ 1 =ELECTRICAL S AMP SERVICE Q P `ROYG TRESS ENERGY Q W.R.E.C. <br /> ©PLUMBING S U1 D <br /> =MECHANICAL 5 y VALUATION OF MECHANICAL INSTALLATION �l TVS <br /> =GAS - = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER aI� COMPANY <br /> SIONA?IiRE /7 REcSMRED I YIN(N FEECURREr. Y!N <br /> Add.. I License# <br /> ELECTRICIAN COMPANY - <br /> SIGNATURE REGISTERED YIN FEE CUM Er Y 1 N <br /> Address Llcartse# <br /> PLUMBER /J/!� COMPANY <br /> SIGNATURE REW711a1ED Y1 N 1 FMCURREn Y( IN <br /> Address Lioensel$ <br /> MECHANICAL COMPANY - <br /> SIGNATURE 41A REGISTERED .I Y1 N - FEE CURREh (_ Y/N <br /> Address license# <br /> OTHER COMPANY =' L <br /> SIGNATURE ' :��� RREGISTEREDI YJN I FEECeRREn LKLNJ <br /> Address { License# �t3�i �'�f7f76 5 1 <br /> 11111111111111 ➢ A11111111 t111111J1111111111111111111111i11J1111t111 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)Bats or Building Puns;(1)sat orEnergy Forms:RAW Permil for new construman, <br /> Minimum ten(10)waking days after submittal date. Required onsits.Construction Plans,Stormwalar Plans wl SRI Fence installed. <br /> Sanitary Facilities S 1 dumpster.Site Wok Permit for subdivisiousilarge projects <br /> COMMERCIAL Attach(2)complete sots of Building Plans plus a tits Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(1 D)woridng days after submittal date. Requited onsite,Construction Plans,Stonnwater Plans wl Sitt Fence installed, <br /> Sanitary FacIftles 81 dumpster,Site Work Permit for all new projectz.AR commerdal requkoments must meet compliance <br /> SIGN PBRMTT Attach(2)seta of Engiaeaad Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> 1.i.It. . . e.1�. . . .-5 l . ' - <br /> Oirocllons: ' <br /> Fill out appUcaGon COmplelely. <br /> Owner 6 Contractor sign bark of apPlkalfah,notarized <br /> If over$250,a.Notice of Commencement ns required. (A/C upgrade&over$75DD) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone w th notarized letter fmm owner authorfzng same <br /> OVER THE COUNTER PERMITnN8 (copy of Contract requirmd) <br /> Reroota if shingles Sewers Service Upgrades AIC Fences(Pict/SurveylFootage) <br /> Ddveweys4iW over Counter if on public roadways-nods ROW <br />