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City of Zephyrhills Pirmit APPHCOOn Fax sip T+aa tt�21 <br /> Building Department <br /> Date Received 'pitone.Contact Pa—mi ng Ff 6 <br /> Owners Name owner Phone N.Itiltor <br /> Owners Address Owner Phone Number <br /> I"Simple Titisholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARMIDOF <br /> (00TAR45D MCFA PROPSIM TAX KCMICS) <br /> WORK PROPOSED NEW CONISTR M AC)DIALT SIGNDEMOLISH <br /> INSTALL Lj REPAIR <br /> PROPOSED USE Q SFR Ej COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 7- <br /> DESCRIPTION OF WORK <br /> LN 4—PLA� <br /> BUILDING SIZE SR FOOTAGE HEIGHT <br /> . . . . . . . . . . . .. . ... <br /> MBUILOING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTFUCAL AMP SERVICE Q PROGRESS ENERGY = W-R-F—C. <br /> UPLUMBING IWO <br /> P-It r-t v W N <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> r—IGAS r-1 ROOFING p SPECIALTY= OTHER <br /> 'FINISHED FLOOR ELEVATIONS FLOODZONEAREA AYES NO <br /> . . .. . . . . .. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEWMI, L_XLN J <br /> Address Ucense# <br /> ELECTRICIAN 1 COMPANY i <br /> SIGNATURE IIII RE0101100 I Y/N FEECLqW I YIN I <br /> Address Ucense# <br /> PLUMBER MPANY <br /> SIGNATURE tfienirrem fMOURRB I YIN <br /> GV <br /> Address U155 <br /> .MECHANICAL COMPANY <br /> 1-46MATURE REGt8tERt YIN FEECURM <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEECLMM LYLN J <br /> Address Ucanse#F- <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)seat Energy ftims.R-O-W Permit for newconstiniction, <br /> WnImum ton(10)Worldnildays after submittal tiara. Requirat!onsits,Consinictlon Pima,Stannwatar Plans w/SILL Fence installed, <br /> Sanitary Facilities&I dumpsten Site Work Parrnfl,for subdivfstortrAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mirimum ton(10)working diNe after oubmlftt date. Required oralte,Construction Plans,StrjmwAftr Plans w/S3t Face Installed, <br /> Sanitary FarAillea&I durnpater.Site Work Pannit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Encliteered Plans. <br /> PROPERTY SURVEY required lorralf NEW oonstruCtIon. <br /> Directions: <br /> Fill out applIcationcomplately. <br /> Owner&Contractor Stan back of applicam notarized <br /> Ifavor$2500,a Notice ofCommencemont to rottulmd. (AfC upgrades over$7600) <br /> contractor)Agent(for ibe or Porwar of Attorney(for the cme*would be acnitiono,With notaflud letter from Omer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reictifs If shingles Sewers SaMes Upgrades A/C Fences(Plot/Survey/Footage) <br /> ati"wevs-Not over Counter if an public roadways..nseds ROW <br />