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` st 3-7aOAO20 City of Zephyrhills Permit Appliedon FNt•st3•Taa ao2t <br /> Qui:drsg L�epartm2nt �� <br /> Date Recelvad <br /> Phone Contart for PermlttlJ""! w �- <br /> Owners Name ' owner Phone Number <br /> -�Owners Addroea ! OtNltot Phone Number }r�� <br /> Poo Simple Tivahaidir Name _ 0W1!er Pirne NLMa, <br /> Fee Simple Tittehefdirr Address <br /> JOB ADDRESS ��v F' L LOT# I�y�Z► l ' <br /> SUBDiVISION fir-- w— PARCEL100 <br /> t, (00TARAID FROM PROPERTY TAX NOTICE) <br /> r t�� <br /> WORK PROPOSED ,3 n NEWCONSTRr7 AOS7tALT SIGN r ® DEMOL15hF <br /> n INSTALL Lj REPAIR <br /> PROPOSED USE 5 SFR TT�1 rn+one ^T ; <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL <br /> I <br /> r, <br /> DESCRIPTION OF WORK <br /> BUILDING SIZU P 7 60 FOOTAGE HEIGHT <br /> =$UILDING is � VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> =ELECTRICAL {�'— AMP SERVICE = PROGRESS ENERGY Q W.R.E.C, <br /> PLUMBING Y' t <br /> ®MECHAMCA t. +� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ® ROOFING i..J SPECIAt4Y U OTFF—R <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> ,I <br /> BUtLD:R ( COMPANY i <br /> SIGNATURE �Y 1 REGISTERED I YJ N FEECURREN �'1�if�` <br /> Address } License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTEREO I !YIN I FEE CiI�R"R'£N�'�'^Y J N <br /> Address ._— —f— LIM.So#i <br /> PLUMBPA COMPANY GI�CJ.i�Gic si"S <br /> SIGNATURE FEeMRREN Y r N <br /> Address C� nyiL� <br /> License# <br /> M60HANICAL a COMPANY <br /> SIGNATURE I YIN FEE CURREta Y I N <br /> i <br /> Address L(CenseA <br /> OTHER r COMPANY It <br /> SIGNATURE REGISTERED I Y t N FEE CURREN Y t N <br /> Addmss t s` License#t <br /> IIIIIItItlttrt11i1111� Ir11t11Atlltlllllt1t11111tlttlttitllllttllftt <br /> R8'Stt}ENTIAL Artaelri IY)Flat vans,tz)sets or tsuamng Flans;tt i set of energy Farms;H-U-W wemut for now construction, <br /> Mnlmum ten(10)working days after submittal date. Required ens te,Consuuctian Plans,Stormwater Plans ur!SiiiFence installed, <br /> Sanuaiy Facilities 6',um <br /> dpstar,Site Work Permit forsu,"Sianoarge projects <br /> COMtiAERC1AL Attaeh?(2)complete of BuUdmg Platte plus a Ldo Safety page;(1)sat oT Energy Farms.R•O•W PBTmit far nswoanstnsetisn. <br /> Minimum ten(f0)woring days Is ' bmF I date. Roqutred onsae,Constnlaan Plana,SMrrnwater Piano w!Sllt Fence installed, <br /> Santa] Faoitilios&1 durnpslgr.Site Work Permit for e8 now prolocts.Ail commerrkaI requl�Dments must meal eamptianco <br /> SOON PERMIT AttMhl(2}Smote of Engmeared Pions. <br /> PROPERTY SURVEY required forallNEW construction. <br /> .. . . . . . . . .. . . . . . . . ._. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . <br /> OITletfons. <br /> Fria ou:ap,•E:oat�n a:fnrratar,. <br /> Owner&Contractor 492n back ofapoltcaaon.rotanzed <br /> 9 over$2500,a Notice of Commencement is mqulrad. (AIC upgrades over 97500) <br /> •• Agent tint the contratstor)or Poveal Of Attorney(farina Owner)wauid be someone tvdh nctadaed letter from owner authorizing some <br /> OVER THE CQUWBR PERMITTING (copy of contract required) <br /> Rome%if shingles Aewars Somoo Upgrades AIC Foncas(Plot aurveytFaologe) <br /> Drtvewaye-Nct over Ceuntor if on public roadways-needs ROW <br /> r , <br /> 't <br />