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is <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 49 I f'do-g-Z Phone Contact for Permitting, F( 61 -7 a - t3 <br /> , <br /> Owner's Name �6"IcII Owner Phone Number :z C- <br /> Owner's Address _CD Cn12 C. eA'L4, 320si Owner Phone Number i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS F-3 i�,o 5 1 1 si-� kuy LOT# C� <br /> SUBDIVISION PARCEL IDO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSEQ- NEW CONSTR ADDIALT SIGN F__1 r 0 DEMOLISH <br /> INSTALL e REPAIR <br /> PRO0r6SElY,'U6k 0 SFR Q COMM. Q OTHER F_ <br /> TYP49FCONSTRUCTION BLOCK E:] FRAME STEEL F <br /> DES' tQ S kc <br /> E T"QN OF WORK <br /> BUILDING'SIZE..,� SO FOOTAGE HEIGHT <br /> . <br /> I T ... . . . . . . <br /> MBYILDING V VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENEROY' W.R.E.C. <br /> � LUMBING $'I goo <br /> =MECHANICAL $ VALUATION OF MECHAN.ICAL'INSTALLATIONI <br /> =GAS ROOFING Q SPECIALTY• OTHER ell <br /> FINISHED FLOOR ELEVATIONS FLOOD:ZONE AREA =YES ..NO <br /> _41,44414"" . . ... . . . .. . .. . ... . . . . . . . . . .. . . . ... . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED LXLNJ FEE WRRM YI N <br /> License# <br /> Address <br /> ANY <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y/ N I FEE CURRa <br /> Address IIcense# <br /> PLUMBER Y U(V COMPANY I <br /> i !� <br /> SIGNATURE REGISTERED FEE Mflf;ta' <br /> Address License# FW c- 1 1 <br /> aas=? <br /> MECHANICAL 6'OAPAkY <br /> SIGNATURE <br /> REGISTERED YIN FEE CURPXA LUN J <br /> License# F_ <br /> Address <br /> OTHER 'COMPANY. <br /> SIGNATURE FEE CURIIEK <br /> Address LIcenseA.E7 <br /> A., J." <br /> -0.1 'Forms <br /> (2)Plot.Plans;�Q), io� onstruction, <br /> 5,RESIDENTIAL Attach, qJs 9,fjByiIdIng,Ptqn .41 �,Ppt: f,kn�riiy Permiff6r <br /> Construcild n. anq,Stbrrn ter.16ns W/-Silt Fence Installed, <br /> 14frilmum ten(10)woiJdhjdiyS iliir�suorpiI <br /> i6 14*000a'orw Zafillar�'Oacflitl P601t1of <br /> COMMERCIAL_ set.d f Energy o...Attach PILisf a- a;' 0* " F'rms.'R-O-W Pdrmitfbr new construction. <br /> 'W�* 6ns71te,�COnArudUOn Plans,Storrnwater Plans w/,Silt Fence Installed, <br /> it <br /> Min'Imum'teQb)' iiigo�ys,afiiirsUbffilttiil'd6te.:Re4ulrWt <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT -.,'6dW,of Engineered.Plans. <br /> !!!?ZR11 60PRTY,SURVEY required fou all;NEW.00nstructlqn. <br /> . . . . . . .. . . <br /> Direct'on! I a: <br /> -fill out a 'I'M pplicallon-cornpT X.- <br /> O%Wisr-&Cdh(rA66rtigrrbi§ck,,.'df,appileadoni°notarized- <br /> Waver$2500,a,NoUce'of�C6,Wfhentiment'isrdqulrod..:-.(NC upgradeovver$7500) <br /> Agent(for the ciontracor)-or�Paw6t,6f'Aftomei,(for.the owner)would-be someone with notarized letter from owner authorizing same <br /> A4 I OVER THE COUNTER'PERMUTING`. (copy'of 6(contiactrequired) - <br /> Reroofs;N shingles dewers""',Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> DrivewaWNot'ovet:Comnt6tilf,on,-O.Oblkc,',r,oadvpys:.nee,ds,]ROW <br />