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\� <br /> City of Zephyrhills Permit Ann\ic:]tDO Fax-8 3-78V-0n21 <br /> Building Department <br /> Phone Contact for Permitting <br /> Owner's Name Tb 7, nc Owner Phone Number <br /> Owner's Address �7a-mpn 33� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> auBmm!m0N P/ARCEL|o# <br /> . . (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED E5 wowcomxrn ADD/ALT �--1 SIGN F--| �-� DEMOLISH INSTALL [_1 REPAIR <br /> PROPOSED USE �_] SFR [_] COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK F-� FRAME �--1 STEEL [--� <br /> DESCRIPTION OF WORK =W ,), 'Inole - fawilm re sijeru_ kee�, 2-L <br /> BUILDING SIZE SQFOOTAGE[�Sjff HEIGHT <br /> F--��U|LO|N� <br /> �-� ;�, C�o6l yALUAT ION OF TOTAL CONSTRUCTION <br /> F--lELECTRCAL AMP SERVICE �--1 PROGRES8ENERGY �-� vV.R'E.C. <br /> ____ <br /> F--lpLUWB|NG � <br /> 1 4-1 or) <br /> - <br /> �E�H&0k�AL ' MECHANICAL ^ " <br /> F--1 <br /> F--l��� ���' ROOFING |-1 SPECIALTY | | OTHER <br /> �_. y � <br /> FINISHED FLOOR ELEVATIONS 57�;;� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE nso'arsneo LY/ N ~EI�u«mRE» LYIN_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> Es:�aCA E I LP r bn_ <br /> SIGNATURE nsn/arsnEo L_Y/ NLJ psEouRmsN LL�_� <br /> Address License# <br /> [EE Q 039-IS1 . <br /> PLUMBER oomp/mY <br /> SIGNATUREFc)v-,--- <br /> RI Yl N I 'rssounxdl, LYIlN_I <br /> Address License# <br /> MECHANICAL COMPANY "55*1Qe_ <br /> SIGNATURE REGISTERED ` �^?��L� FsEuunneN -[�2�L� <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE D nEa/arenso .f|lN_1 pEEounRE^ �`�,N_�~� <br /> Address Licenee# <br /> xxxmnuxmmmxxxmImxI 'll mxnmmmunnNmxxxK1Uun1U » Uxy11Ux <br /> RESIDENTIAL Attach(8 Plot Plans;CD sets of Building Plans;(1)set of Energy Forms;R-Q4@ Permit for new construction, <br /> Minimum ten(1V)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1dumpyter;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(io)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Feci|itios&1dumpstec Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(%)sets uf Engineered Plans. <br /> ~°°^PROPERTY SURVEY required for all NEW construction. ' <br /> Directions- <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> n over$o5oo^a Notice nf Commencement is required. (x/C upgrades over$Tuu0) <br /> � Agmd(fhrthanontrautor)nrPoverufAttxno�(fox|hoownnr)vouldb000meoneWithnotahzed|oOorfrnmovnorouthorizingsoma <br /> OVER THE COUNTER PERMITTING (copy nf contract required) <br /> Rumofs if shingles Sewers Service Upgrades AIC Fences(P|oh/Survey/Footage) ' ^ <br /> Driveways-Not over Counter ifon public modwmys'neednROW <br /> ' <br /> ' <br />