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f Fax-813-78D-0021 <br /> City o Zephyrhills PErmit Application B13-760-0020 ) <br /> BuRdIng Department <br /> Data Received Pizane contact for Permittin I -CAS <br /> own I sea Name i owner Phone Number <br /> owners Address CI"arPhionaNumber <br /> Fee Simple Titleholder Noma Owner PhLo Numbor <br /> Fee Simple Titleholder Ad, ON <br /> I' — - I LOT# <br /> JOB ADDRESS <br /> SUBDIVISION PARCELID# 109TAIINM X 13FROPERTYTA110TICS) <br /> WORK PROPOSED <br /> NEW coNsTR ADDIALT Q SIGN M DEMOLISH <br /> INSTALL <br /> PROPOSED USE <br /> SFR COMM OTHER I <br /> I <br /> TYPE OF CONSTRUCTION! BLOCK = FRAME STEEIL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEI�HT <br /> ffBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECI RICAL SAMP SERVICE =1 PROGMSS ENGRG, = W-R-S-C- <br /> 5z2rPLUMBING` <br /> =MECHANICAL VALUATION OF MECHANICAL l STALLATION <br /> =GAS ROOFING Q SPECIALTY= OT ER <br /> FINISHED FLOOR ELEVA;nONS FLOOD ZONE AREA =YES NO <br /> 9UILD9R COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRI% Ljj N_J <br /> Address <br /> License 1A I I <br /> ELECTRICIAN COMPANY I <br /> SIC-NATURE 1120101711RED I Y11 N I FER CURREh Y!N <br /> Add... License 0 <br /> 040 <br /> PLUMBER r4 <br /> SIGNATURE I R11018TERED I FEECURRB I YIN <br /> Address License a tor—A-4mcc, <br /> MECHANICAL COMPANY <br /> SIGNATURE Ar.Q4aTCriGD TIN F=QWAM <br /> Address j LicenseU F— <br /> OTHER CCOMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRah <br /> Address License 0 <br /> RESIDENTIAL Attach 1,2)Plot Plans;(2)sets of Building Plans-,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minim t rn ten(10)working days after submittal date. Required onsite.constiuction Plans.Stormwater Plans wl Silt Fence Installed, <br /> Sanits Facilities&1 dumpst r;Site Work Permit for subdivisionsfiargle projects <br /> COMMERCIAL Attach 2)complete sets of Building Plana plus a Life On"Page;(1)act ollEnergy Forma.R-O-W Permit for new construction. <br /> Minim m fun(10)working days after submittal date, Required onsite,Constfuction Plans,StormiWaler Plans w/Silt Fence installed, <br /> S Facilities&I dumDater.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT sets of Engineered Plans. <br /> ... PERTY SURVEY required for all NEW construction. <br /> Directions. <br /> FRI out fippliration roInplately. <br /> Owner&Contractor Ven back of application,notarized <br /> II over$2600,uNotll ool Commencement is required. (AIC upgradas over$7600) <br /> Agent tfar drsa contra11,011 or Power of Ahomay(for the cwner)would be someone with nota�dzu latter from owner aullnomeing same <br /> OVER THE COUNTER PERMITTING (copy of corittactrequired) <br /> Rerocifs if shinglog 8 Wers Seivice,Uporadoo A/C Fences(PlollSurvey/Footag <br /> otivoways-Noi over ounter It on public roadways,meeds ROW <br />