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Fax-sly-Sao-ooze <br /> ity of Zephyrrhills Permit Application <br /> 813-780-0020 C Building Department <br /> Date <br /> Received <br /> eived <br /> for Permitting I <br /> 0 V, <br /> CornMan on Ph <br /> Owner's Name * <br /> ownees'Address r(OW Gai I glvd- owner Phone Number <br /> Fee Simple Titleholder Name I -- I Owner phone Number <br /> Fee Simple Titleholder Address I — <br /> JOB ADDRESS Fu-q".- !Vd Zh i 1/775:M5 �a LOT III <br /> SUBDIVISION F- PARCEL,D#(FDa-2u-�-oolt)-OO?L')()-O"50 <br /> (OarrAINED FROM PROPERrYTAX NOTIcEll <br /> WORK PROPOSED NEW CDI ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM Q OTHER F <br /> TYPE OF CONSTRUCTION = BLOCK 71 FRAME STEEL = I - <br /> DESCRIPI OF WORK —& rn Iocnert s 5.-Stom-W <br /> A L dh I ge- <br /> & OW" <br /> BUILDING SIZE I SQFOOTAGEJ I HEIGHT <br /> ffBUILDING- VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESSENERGY W.R.E.C. <br /> =F-LUMBING Is <br /> M-IVECHANICAL IJE9967 I)DI VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING = SPECIALTY r-7 OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Yl N I FEE CUMEN <br /> Address License#F— <br /> ELECTRICIAN COMPANY = <br /> SIGNATURld REGISTERED I Y1 N I FEE CURREP, LILN J <br /> Address I- - License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED Y/N I FEEcURM L.YI_N_j <br /> ilok <br /> - <br /> IAddress I UCG #I <br /> MECHANICAL COMPANYa5 T <br /> SIGNATUP1REGISTERED Y/N FEE CURM I YIN I <br /> Address Ucense# <br /> COMPANY <br /> OTHER SIGNATURE D REGISTERED Y/ N I FEE cuRR I Y/N <br /> Addle is License <br /> till 1111111 ' 11 RESIDENTIAL Attach(2)PItPlars;(2)sets of Building F11fans;(1)set of Energy Forms-,RA-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date- Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&I dumpster.,Site Work Permit for all'new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered,Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Directions'Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE <br /> COUNTER PERMITTING (copy of contract required) <br /> Reroofs if S-Iinglas Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-No over Counter if on pub(c rpa"-reeds RCZW, <br />