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813-TSM20 City of Zephyrhills Permit Apptica#an Fax-813.78M21 <br /> Building Department <br /> Date Received Phone Camtactfor Perml <br /> �T- t , <br /> Owner's Name `J r ����r1 Owner Phone Number 6 b <br /> Owner's Address - 7 Owner.Phone Number <br /> 17a ,LIL E1 sj,':)L Owner Phone Number 1 s <br /> { <br /> JOBADDRESS �J�- / T4 SA-r-C�' 1OT# <br /> SUBDIVISION PARCEL IDS ! '()U G6-QC ;k>w <br /> (OWMIEDff"PROPSRWTAX KOVCE) <br /> WORK PROPOSED NEW CBNSTR r-I ADD/ALT r--j SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE p SFR Q COMM p OTHER Ii <br /> TYPE OF CONSTRUCTION p BLOCK Q FRAME p STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING S12E SQ FOOTAGE LL�..- r i HEIGHT <br /> t <br /> =BUILDING 3 .. � VALUATION OF TOTAL CONSTRUCTION <br /> =IELEemeAL is AMP SERVICE DUKE ENERGY W.R.M <br /> =PLUMBING 1$ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS p ROOFING [n SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS F FLOOD-ZONSAREA =YES. NO . <br /> .. <br /> BUILDER`,::.' COMPANY <br /> SIGNATURE IO318TERlrD Y/ N I FEE Ct><iREE Y I N <br /> Address Uc:emse# ( ( 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS RIM Y/ N FEE'CLIMB Y/N <br /> Address License# ! 1 <br /> PLUMBER „ COMPANY <br /> SIGNATURE RhR:STERaD Y/ N FEE WR'RE:'+' <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS'CEIFtED Y/ NJ FEE CWUM i Y/N <br /> Address. license# I I 1 <br /> 1 <br /> OTHER COMPANY <br /> SIGNATURE I Y1Kj FEE Ct1RREN f Y N <br /> Address A.e. . / 'Ic License# <br /> RESIDENTIAL Attach(2)Prot Plans;(2)seta of Sulfding Plans;(1)set'of Energy Forms:R4I W-Permit for new cans , <br /> Mlnirnumi ten(IO)working days after subrr RW*date. Requited onstts,Constmrotion Plans;Stomhwater Plods w/SRI Fence.1natalted, <br /> Sanitary Facilities&.I dumpster.Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2j complete sets of Building Plane plus a L11e Safety Page:(1)set of Energy Forms::R-0-W Perm• construction.for newconstruction.Minimum ten(10)working days after submittal date. Required onsite..Construotlon-Plans,.Slorrawater P"w/Sift Fence Installed, <br /> Sanitary Facilities&1 dumpster:.Sfte.Work Permit for all crew;prajecta.AD cornmercfa requirements must nest ccommpltance: <br /> SIGN PERMIT Attach(2)sets.of Engheered Proms. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: i <br /> Fill aat_spplication completely. ` <br /> Owner&Contractor sign back of application,notarized <br /> 9 am$2600,a Notice of Commencement is required. (AFC upgrades over s7 W8) ; <br /> Agent(for the contractor)or Powerof Attorney(for the owner)would,be someone with notarized letter from owner autho some <br /> OVER THE COUNTER PERMITTING (copy of contract required)' ! <br /> Remofs ff shingles Sewers Service.Upgrades r A/C Fences(PWSurvay/Footage) ' <br /> Driveways-Not over Counter 9 an public roadways..maeds ROW <br />