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'Z�V v <br /> 813-780.0020 City of Zephyrhills Permit Application pJ Fax-a1a-7eaoo2` <br /> Building Department <br /> Date Received Phone'CoMaot for P®nfiptin <br /> Owner's Name Owner Phone Number p � <br /> Ownses Address .3�1 l l OSS i -. . Z `�` . �. <br /> Ow L. nor-'Phone Nuntbar `'` <br /> Fee'Simple Tithholder Name Owner Phone Number <br /> Fee Simple Titlsholdor Address :' ' <br /> JOB ADDRESS 1 ra'�L. L 33`3 LOT# <br /> SUBDIVISION . 07��.Q�k:IFfarlLSt. PARCEL.itW `' pip <br /> (GBTAiNID FROM PROPERTYTJ�i NOTiCEj%',::, <br /> WORK PROPOSED NEW CONSTR ' -ADD/ALT 'SIGN [ : �• `DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSE USE, <br /> SFR' (� ' COMM [� OTHER <br /> TYPE OF CONSTRUCTION [ `BLOCK �] FRAME STEEL Q,` <br /> DESCRIPTION OF WORK via s S qt- ram'• Z 4 7 fp/y <br /> BUILDING SIZE' ! adr-J�7... SR FOOTAGE, /O'�G HEIGHT.` , i$ •J <br /> OBUILDING S.. VALUATION OF'�OTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE' [� : PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING= �, <br /> =MECHANICAL, $ VALUATION OF MECHANIGAL INSTALLATION <br /> =GAS r7j, ROOFING_-0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO - ' <br /> MILDEW -- -- - — COMPANY- <br /> SIGNATURE REGISTERED,. . Y/,N <br /> Address License <br /> ELEGTRiCiAN COMPANY <br /> SIGNATURE REGISTEREDI Y/ N I FEE CU(RR�En LIM <br /> Address -~License# <br /> PLUMBER. . (COMPANY ' <br /> SIGNATURE i REGISTERED. ,:Y 1.;N - FEE CURM YIN, <br /> Address uwnse# <br /> MECHANICAL, , .COMPANY <br /> SIGNATURE REc1�srEREo ' Y 1.N FEE txIRREI, Y I* <br /> ; <br /> Address 71 <br /> R :.. License# C <br /> DTHER-� 'P. coMPAI�ir:_ Utz: . 1 <br /> SIGNATURE REGISTED_ Y/'N= FEE CURREI+ Y,/.N:;; <br /> Address p!! 33$,7 t tcenso# 7= <br /> ,. <br /> �.,i .. <br /> tESiDENT1At::. `Aitgi i 2;Ptof P,1 1W;'i•2'sefs cf W,t1,hhg`Plans:(1 `safof.P fergy orris;RA W%P!erin'tt.foriiew col struction„ <br /> =rMintmirnt tr3n(1Q}wa7lting days i sutiiiiitfit date: Required on its Coe nicttron,Plans,Storrriwate'°Plans vul.SIIYFenae Installed; - <br /> Sanitary FadUea&S1 dupnPster:SibkWarirPeimll tot aiJtidivistat>$Jiaiq�projects:'.= <br /> --3•:. s...i..e�...... <br /> COMMERCIAL Attach(3)'coinplote;seta of'biiitdiiig Pleirs plus iM Safety Page;(1}set a.Energy.Forms.R-O-W Permit for now cormtructlon: <br /> Minimum ten(10)working days'after submittal-date. Required onalte,Construction Plans,Storinwater Plans wl Slit Fence Installed,- <br /> Sanitary Facilities 61 dumpster.Site Work Permit for all:new prcJects.:All eommerciet iequlrements must'meet compHence <br /> IGN PERMIT Attaar(2)set$ofErtgineffir d Plai►a:.: `:'= <br /> 'PROPERTY.SURVEY;requirad forall NEU1l.construcUon.: - <br /> irections: r., <br /> Fill.out application completely. <br /> Owner&ConbacW sign back of application,notarized <br /> If over UM,a Notf".of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power Attotney(for the owner)would be someone with notarized letter from owner authorizing same- <br /> VER THE COUNTER.PERMiT[ING.• - • (Front of Application Only) <br /> ercofs if shingles Sewers Service Upgrades-A/C Fences(PloUSurvey/Footage) . <br /> driveways-Not over Counter If an public roariways..needs'ROW <br />