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' <br /> L]tyOf Zephyrhills Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permitting MCAV-kcirtm, C-ON) <br /> �~~ <br /> . . . . . . . . 11111111111111-IL-1 all Kill . . . . <br /> Owner's Name n C Owner Phone Number <br /> Owner's Addressl I-Z,(,2 m,,_ c c o m 1)y- a 33�1 3�L Owner Phone Number <br /> Owner Phone Number <br /> Fee Simple Titleholder Name -s-n mz_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> r'-17 0166 C)IC160 =Q <br /> SUBDIVISION 9ARcELUD# <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wewoomsrn ADoAALT �---1 s|GN F--1 F--\ DEMOLISH_]� INSTALL E REPAIR <br /> PROPOSED USE �—� oFR F—� COMM F--� OTHER <br /> TYPE OF CONSTRUCTION r7V BLOCK F—� FRAME �--1 STEEL �--1 <br /> BUILDING SIZE SQ FOOTAGE Z3' Z;T f+ HEIGHT <br /> =BUiLO\NG VALUATION OF TOTAL CONSTRUCTION <br /> �—� �sLEC� oAL Yv <br /> AMP �--1 PROGRESS �—� .R.E.C. <br /> ___ <br /> =pLUMoiNg <br /> -,` <br /> =MECMANICAL $ VALUAT ION OF MECHANICAL INSTALLATION <br /> ��GAS F� �� | | OTHER�_� � FK}OFN� SPECIALTY <br /> FINISHED FLOOR ELEVATIONS FL60DZONE AREA =YEG NO <br /> BUILDER COMPANY Irk <br /> SIGNATURE .nso/orsmso LY/ N 'scc«n:E� <br /> Address Lioanse# <br /> ELECTRICIAN 00 .coMpAmY <br /> SIGNATURE ReooTsnso LY/_N_ Fsecunnsx L� /N�� <br /> Address License# <br /> La- <br /> PLUMBER uoMp/wmr <br /> SIGNATURE nso/srsnso .//_N 'Fssuonnex LYIN I <br /> ' <br /> Address License# <br /> MECHANICAL COMPANY <br /> a|oNxTU�� " L^�/'N � psscunnEx -�Y/NL� <br /> Address ]l License# <br /> OTHER COMPANY <br /> SIGNATURE FIDnaaIerenso L����_| FsEnunmsx L_Y/N �J <br /> Address Licanae# <br /> u � � xxux � mxxxxmmxxummxxx`xxnnoxmuxxxnxuuxuxxxnxxxmnxnxomoxxnmxKxxo � mx <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsilarge projects 'COMMERCIAL Attach(2)complete sets of Building Plans plus o Life Gaf � /� 4V� Puge�(1)oofEnengyFnnns.R,� PennitfornawoonnonoUon. <br /> Minimum ten(1O)working days after submittal date. Required nnoita.Construction Plans,G\onnwaor Plans w/Silt Fence installed, <br /> Sanitary Fad|itios&1dumpstar.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> °°**PROPEFTY SURVEY required for all NEW construction. ' <br /> Fill out application completely. <br /> Ownar&Contractor sign back ufapp|icmtinn.notarized <br /> If over$2suo^a Notice of Commencement isrequired. pwo upgrades over$7onO> <br /> ' <br /> � Agent(for the contractor)or Power ofAftome�(for the owner)would ba someone Withnotarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs|fshingles Sewers GerVica Upgrades A/C Femcem(P\oUGumey/Footage) <br /> Driveways-Not over Counter ifon public madvayn.oendsROW <br />