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~'^-'""_u"4v City of Zephyrhills Permit Application Fox-83780-0021 <br /> Building Department <br /> Date Receive8 <br /> Phone Contact for Permitting <br /> Owner's Name Owner Phone Number <br /> -�Mpajfi 343?—Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT 4 <br /> suBoxxmIoN |o# <br /> (OBTAINED FRO'M PROPERTY TATNOTICE) <br /> WORK PROPOSED wamcowsm F7 ADo/A6]' F---1 o|GN [--1 F--i DEMOLISH <br /> INSTALL �_� REPAIR <br /> PROPOSED USE [--7 aFR �—1 COMM �--� OTHER <br /> TYPE oFCONSTRUCTION �—�� BLOCK �—� FRAME �---� 8TEEL <br /> DESCRIPTION OF WORK ssrcl�L ��f W to <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =pLUWa|NG <br /> =MECMAN|'CAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAG ��~� ROOFING F—� SPECIALTY F--� OTHER <br /> FINISHED FLOOR ELEVATIONS __7FLOOD ZONE AREA F--7YES NO <br /> oU|LDER COMPANY <br /> SIGNATURE nEo/orsnso ������� <br /> Address Unonao# <br /> =_LECTR|CIAm COMPANY <br /> SIGNATURE neoIarEneo � <br /> Address <br /> :'LUMBER COMPANY <br /> BGN/TURE neo/eTenso FEETCURREN —YIN <br /> Address <br /> mEcHAm(cAL COMPANY <br /> nGN/uruRs neoIarsnso <br /> Address <br /> TmER COMPANY <br /> UGNATURE REo/mEnso <br /> Address Licanno# <br /> lEG|oENThAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O4YPermit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onoiha.Construction Plans,Otnrm*mtor Plans v/Silt Fence installed, <br /> Sanitary Facilities&1dumpster Site Work Permit for oubdivioions8argeprojects <br /> ;OMMERCkuL Attach pV complete sets of Building Plans plus aLife Safety �� <br /> Pogn�(1)n��ofEn�qQy�Fim').g'6 W Fennit for new c*onntruoUun. <br /> Minimum ten(10)working days after subm\tf;a|date. Required nnoitn.Construction Plans,Shznnwater Plans yv/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> UGNPERM|T Attach(2)sets of Engineered Plans. <br /> °^"PROPERTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Owner&Contractor sign back nf application,notarized <br /> n over$25oo.a Notice of Commencement isrequired. (AC upgrades over$T50O) <br /> ^ Agent(for the contractor)m Power ofAUomo�(for the owner)would be someone with notarized letter from owner outhoridn same.. <br /> rVER THE COUNTER PER0|TONG (copy ofoonh re <br /> quired) <br /> ' ' <br /> ,emofs if shingles Sewers Service Upgrades 8K} Fences(Plo0/Sumey/Foota8o) � . <br /> ! � <br /> Driveways-Not over Counter ifon public madvaya..noednROW <br /> / <br /> ' <br />