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gi*-7400-0020 City of Zephyrhills Permft ApplicaUon Fax-eta-76M21 <br /> Bunding Departme <br /> Date Received Pinane Contact for PPer-millin CA <br /> Race rr'� <br /> 0�411 OwtiePes Name <br /> Phone Numberbarr's.Address Owner Phone Number <br /> Fee Simple Titleholder Name F owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I � LOT-3 <br /> SUBDIVISION PARCELID9r j1WTAWWFM1AP=PERWTAXlWnCW <br /> WORK PROPOSED NEW 5TR ADDIALT Sir-" DEMOLISH <br /> INSTcA0LNLR REPAIR <br /> PROPOSED USE SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Lec—o <br /> BUILDING a SIZE ISOFOOTAGE HEIGHT <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> �CUWIBING <br /> =MECHANICAL is VALUATION OF rJEC NICAL INSTALLATION <br /> ? <br /> r7GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARE A r-7YFS NO <br /> BUILDER COMPANY = i <br /> SIGNATURE REOISTRED I YIN FEECURREN I Y/N <br /> Address Licata <br /> ELECTRICIAN COMPANY [ <br /> SIGNATURE 119019'ralIRD Y1 N FtECURM I YIN I <br /> Address License 4 1 <br /> J 0%A— ��"C <br /> PLUMBER COMPANE <br /> SIGNATURE REGISTERED FEECURRU �p I,Q:j Clio <br /> Address License a <br /> MECHANICAL COMPANY = <br /> SIGNATURE AzQJvMf1aD I YIN raeGURFMb Limm-i <br /> Address Licensag <br /> OTHER COMPANY f <br /> SIGNATURE REGISTERM I Y/N FEE CURM <br /> Address Llcensag <br /> , l ioii #illiIliul I I I I I I I I I I RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plan:(Vset of arms;U WPermit for nawcenstrd on, <br /> Minimum ton(10)working days after submittal date. Required ors to,Construction Plans,Storrilwater Plans W1 SUI Fence Instated. <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivslons large projects <br /> COMMERCIAL Attach(2)complete ode of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pornnit for now construction. <br /> Mir4mum ten(10)working days after submittal data. Required onsio.Construction Plans,Slormwelar Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpater.Silo Work Permit for all new prof e I cts.All commercial requirements must meet complienoa <br /> SIGN PERMIT Attach(2)sets of Enolneered Plans. <br /> "PROPERTY SURVEY required for all NEW constructlart. <br /> . . . . . . . . . . . . . . . I . . . . . . . . 1 �. . . . . . . . .. . . . . . . . . . . . . . . <br /> Are, <br /> FRI Cut application completely. <br /> O"or&Contractor sign b*(A of application,notarized <br /> lf over$2600,allotlro*fC*mmoncomordisroqulrcd. (AtC upgrades over 19000) <br /> Agent(for the contractor)or Power of Attorney(for the aNner)would be someona with notarized letter from Omer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remots If shingles sewers SaMee Upgrades A/C Facet(Ptol]Surw yfflootage) <br /> Driveways-NW over counter it an public madways-needs ROW <br />