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Nov, 4. 2019 9:24AM City'ofZephyrhills Permit Application No. 0567=az-eP. 1).0021 <br /> Building Department <br /> Date Reoetwed �r`f/Q Phone l ontact for Pe mwj e r 3 19 76 _ 3 24 <br /> Owner's Name Owner PhonQ Number 1r 81.3�-78^3-rms.- <br /> owners Addresa 3 rl �"?G e"?tali+�or J Owner Phone Number I ^� <br /> 3 ry2 owner Phone Number <br /> JOB ADDRESS. 3q x74 L0T# <br /> �s"+ e,✓n�J �•txr� PARCEL IDR l -26-21,6 1W-Aoddo-///o <br /> SUBDIVISION F <br /> (MAIMED PROP PROPMWTAXetOTIM <br /> WORK PROPOSED e NEr/WWRB ADDIALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR [] COMM r .OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME M STEEL Q <br /> DESCRIPTION OF WORK Go C'rr $?�'7 r'4 # 13Szi'G <br /> BUILDING SIZE. SO FOOTAGE HEIGHT E <br /> BUILDING $ /. 3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL, $ ( AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY Q OTHER. <br /> FINISHED FLOOR ELEVATIONS ` FLOOD ZONE AREA =YES NO <br /> (`C � <br /> BUILDER Q COMPANY ��acr$�'ar+ �a•r' +�c-t Y/4 <br /> SIGNATURE �/G�' REGiSTEfiED YIN FEECURRD <br /> Address (/J�37�✓�an•./r.r��- B�✓� License# <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGSTERED I YIN I FEEQ=DP YIN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y(N FEE CURREn Y T N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE Rae OUM I YIN FEE HARD* I Y I N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE R 1 YIN FEE WRRE"A� Y/NN <br /> Address ( License.*.l <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set of Energy Forms:R-O•W Permit for new eonsUuction, <br /> Minimum ten(10)wortring days after submittal date. Required onsite,ConstruoWn Plans,Stonnwater Plans w/Sitt Fence Installed, <br /> Sanitary Facilities&1 dumpsteq Ste Work PermItfor subdlvlsions"a projects <br /> COMMERCIAL AReeh(2)oomplete'sels of Budding Plans plus a Ufa Safety Page;(1)sat of Enow Fofma.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after eubmittal data. Required craft,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far ell new prejec�h All commercial requirements must meet comprom' <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> " PROPERTY SURVEY required for all NEW construoW. <br /> Directions:• '' <br /> FBI out opplicaton oompleft. <br /> Owner&Convector sign back of application,notarft ed <br /> Rover i M,,a Notice of Commencement is re ka (ANC upgrades over VM) <br /> Agent(for the conftcw)or Power of Attorney(for the owner)would be someone with notarized letter from owner antho(mng same <br /> OVER THE COUNTERPERMITTNNG (copy of contactregmred) <br /> Reroofe If shingles Sewers Ser Nos Upgrades A/C Fences(PIot/Stuvey/Feotage) <br /> Driveways-Not over Counter If on public roadways needs ROW <br />