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s1�zoo oozy City of Zephyrhills Permit Appticaton Fir-ai zao-0ox1 <br /> ` BudrLrg tTeparimari <br /> i <br /> Date Received a Phone Contactor Permitting Sc •= <br /> I I 1 1 a i <br /> Owner's Name12, <br /> �`1 Owner Phone Number <br /> GwnaYs Address t Owner Rhona Number <br /> Foe Simple Tittetiotdir Name d+x+T+"t Phem. <br /> Fee Simple Thlehoide►Addross <br /> JOB ADDRESS ( LOTIf t"6 tnj <br /> SUBDIVISION ' e✓ PARCEL IDA <br /> (OSTARMI)F'ROM PROPERTYTAX Nonce) <br /> WORK PROPOSED i ® NEW CONSTR� AOLVALT SIGN 0 DEMOLISH <br /> s INSTALL REPAIR <br /> PROPOSED USE SFR <br /> TYPE OF CONSTRUCTION D SLOCK FRAME = STEEL ® C.....^.a <br /> f. <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE + 50 FCOTAOE HEIGHT <br /> =BUILDING !� � VALUATION OF TOTALOONSTRUCTION <br /> C 1ELEOTFUCAL q —� AMP SERVICE PROGRESS ENERGY W.R.E.G. <br /> r ) <br /> M LUMBING' { <br /> l <br /> =MECHAP9CAL s VALUATION OF f,REOHP,hACAi INSTALLATION / <br /> Qt3AS = ROOFING SPMAi Ty © OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V <br /> BUILDER COMPANY I <br /> SIGNATURE L g REGISTERED I YIN FEECURREN I YIN <br /> Address A Ucense#! �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED � I YIN FEE CURREN <br /> Addnss 1 License#I <br /> PLUMBER COMPANY <br /> ti c C <br /> SIGNATURE new^SIEREDApt 9 i ' FEE CURRENc' Y/N�� <br /> Address G. dsr� 11-Y l icense# <br /> MECHANICAL COMPANY <br /> SIGNATURE t' REGISTEREd YIN FESCU(RRENYLN—j''�`�'� <br /> Address License# <br /> OTHER <br /> b COMPANY <br /> SIGNATURE REGISTERED YIN PEECURRENYIN <br /> Address I License 0! <br /> itI1111iI111t111111 / Iti1111111111 / IIt1111t111 ! ! 1l / 111111111l1l1 !! ! ! <br /> FMSIDENTIAL AnaCi%(l)Plot Flans,t'L)sets at tlunding flans:(I I set or tnergy Forms;K-l)^tIy Hermit tot new construction, <br /> Minimum ten(10)worldng days after submittal date. Recuired onsite,Construction Plans,Stornimter Plans wr Silt Fence Installed, <br /> Sanitary Facilities&t dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a lafo Safety Page;(1)set of Energy Forms R-04 Permit for now construction. <br /> Minimum ten(10)workn0 days after submittal dote. Roaulred crane,Omstr cton Plans,Storimater Pletis yd Slif Fence installed, <br /> Sana*Facilities&i dumpater.Site Wori<Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attacht(2)sets at Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> -Iai .� ..:.:.. . ! t.1.i.i . . .. 1 i 1 . . . . . . . . . . . . . . . . . . ...3_.._._._ss_._..._. .. <br /> Dint z: <br /> Fill 4U!2 Stxsr ^�',+j.ttri.6t�_ <br /> Owner&Contractor gn back ofappl'r.ation,rdtanzed <br /> If over$2600,a NaOco of Commencement Is required. (AIC upgrades over$7600) <br /> Agent for the contractor)or Power of Auomey(tor the ovper)would be someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs It shingles Sswar3 Service upgrades NC Fences(PloU8urvey)Footaga) <br /> DriuewaWNot over Counter if on public roadways..needs ROW <br /> "r <br /> a <br />