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813-780-0020 City of Zephyrhills Perillit Application Fax si3-780-6021 <br /> Building Departmenf <br /> Date Received jPhoge0ontactlo permliti.0 <br /> Ownaes Name <br /> LAJr, Owner Phone Numb", <br /> Ownees Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple'neeholderAddress <br /> JOBADDS S �Ake— Y LoTf <br /> SUSDIVISIO N PARcEL J2/9d I <br /> WORK PROPOSED 'E] NEWCONSTR ADDIALT SIGN(OBTAINED FROM PROPERTYMN(MCE) <br /> DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Ej FRAME C7 STEEL <br /> DESCRIPTION OF WORK Aov� 16- -7 .0111* 13 <br /> BUILDINGSIZE I —j SQFOOTAGE= HEIGHT <br /> VALUATION OF TOTAL CONSTRU07TON <br /> =ELECTRICAL I$ MP 81_FMCE Q PROGRESS ENERGY F--j KRZO. <br /> =PLUWaING <br /> I <br /> =MECMWICAL is VALUATION OF MECHANICAL IN ON <br /> cl�[ <br /> =GAS ROOFING SPECIALTY F--j OTHER <br /> FINISHED FLOORELLVATIONS I FLCODZONEAREA =YES No <br /> .... . .. . ... .. . .. . . .. . . . . ..... . . .. . .. . ... . . . . . . . .. <br /> BUILDER 11MOSCOMPANY <br /> SIGNATURE TEM I Y/N FEECURRM LffjN J <br /> Add. P�—� Llcenss# <br /> ELECTRICIAN COMPANY r <br /> SIGNATURE REGISTERED I Y/N FEECURM <br /> Address Licansef <br /> PLUMBER COMPANY = _YIN-1 <br /> SIGNATURE REGISTEREDI YIN FERCURRFA L <br /> Addreqsr License# <br /> MECHANICAL COMPANY I <br /> SIGNATURE CuRft Ly <br /> RMISTERED I Y/N FES N L—j <br /> Address Llcenspf <br /> OTHER COMPANY <br /> SIGNATURE REGISTEM I YIN FEECURM L_YLN J <br /> Address License# <br /> O <br /> I I I I if I I I it III fill I I It I If It[I [I 111"11111 Its I I I I III III R- <br /> RESIDENTAt Attach(2)PlotPlaris;(2)sets OfEWIdIng Plans,(1)s6tofEnOrBY Formal -WpermItfornewLonstuctlon, <br /> Miclamm fen(10)wajjrjg days after submittal date.Required onsile,Construction Plans,Stormwater-Plans wl Silt Fence Installed, <br /> Sanitary Fadililas&I dumpster,Site Worki3eanl(forsubdivIslonsfiarge projects; <br /> COMMERCIAL Attach(2)complete sets DfBuHdfng Plans plus a Ufa Safety fte,(1)setofEnemy Forms.R-O-W Pennitfornew construction. <br /> Minimum ton(10)working days aftersubmitial date.Required onsIto,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> SanifeTy Facilities a I dumpster.Site Work Permllbr all new projecla.AJI commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> " PROPERTY SURVEY mqulredfbr all NEWconstructlDrL <br /> 8 1 1 1 14; 1 t <br /> Directions: <br /> Fill - I <br /> Fill out applIcation completely, <br /> Owner&ContraclorsIgn backol'appilostlon,notarized <br /> If over$2600,a Notice ofCommencernont is required. (AIC upgrades over$7600) <br /> Agent(for the contmolor)or Power ofAttomey(for the owner)would be someone with notarized letter from ownerauthorbing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofia If shingles Sewers Service Upgrades No Fences(Plot/Survay/Foolage) <br /> Drivoways-NotovarCounterifon publIcroadways.meads ROW <br />