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513.78"020 City of Zophyrhills Permit Hppitc aim t <br /> BUNding Repartmehl <br /> ved Opt*novel F} i"_ /..�_ <br /> E• )`"t Phone Coa=act fur Patrrttlin <br /> I�TITE'GIl7II.1SI''.:�Cl. <br /> Owntr's Nema Owner Phone Numbor 1 u <br /> Ownsrs Address Je�lT ./(���♦ y �_f l Owner Phone Number <br /> �s-,(�!%�i+rtisr�C.4r1 l<`i. Ji•2 Owner Phone Number I <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL to# <br /> (08 MED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEWCONSTRB ADDIALT t� SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM s OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL = <br /> l DESCRIPTION OF WORK — 1? <br /> I BUILDING SIZE J� SO FOOTAGE�� HEIGHT E:= <br /> i a+ <br /> =BUILDING 6 LJ O VALUATION OF TOTAL CONSTRUCTION <br /> t <br /> =ELECTRICAL S ©�BQ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> * <br /> T <br /> QPLUMBtNG C) .�t� <br /> =MECHANICAL S VALUATION OF MECHANICAL)NSTR TION <br /> s'6ad.ov <br /> =GAS = ROOFING Q SPECIALTY L.J OTHER ! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Imo" <br /> F4++44++.H.I.............H+++++F++-FH.H44•t-F#44+1-FH+F44 +#F+fj+FF++i4444++4+++I++++++4H+i+Hi 44f -iFi-------} ... <br /> BUILDER " COMP;fiY d FJS_I�LLtlllJfJ l�r <br /> SIGNATURE $LEG*IEREa I YIN FEE CtR2REA Y l N <br /> Address $ Llconso# 5ll17�/ <br /> ELECTRICIAN �t�v) COMPANY •� <br /> SIGNATURE RECASTERED YIN FEE CURRD, _Y/N <br /> Address7, <br /> PLUMBER COMPANY 1 bi <br /> SIGNATURE , REGfstFRLa Y!N FE•CVO.s 'Y/N U <br /> Address � .. License# W ., <br /> MECHANIC <br /> SIGNATURE REGiSr)R-10. Y!NJ FEE CURRfr Y 1 r Lt <br /> ��- License# <br /> � <br /> OTHER COMPANY I�'i_^' <br /> i <br /> SIGNATURE nEGtsrFscEO Y/N FEE CURRU Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pions;(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwater Plans wl Sill Fence Installed. <br /> Sanitary Facilities&i dumpster;Side Work Permit for subdivIsionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O•W Penult for new construction. <br /> i, Minimum ten(10)working days after submittal date. Required onstle.Construction Plans,Storrnwater Plans wl Sift Fence Installed, <br /> 11 Sanitary Facilities&1 dumpster.Site Work Permit for aA now projects.An commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> i —'PROPERTY SURVEY required for os NEW construction. <br /> tI;IQ44TQ14 till i133A3 <br /> I Olroctlons: <br /> FIR out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is roquired. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> i OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rare*If shingles Savers Servico Upgrades AIC Fences(Plot/Sunroy/Footage) <br /> 1' <br /> �, Dt)veways•NDI over Counter it on public madways..needs ROW <br />