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G���i >>�y <br /> 813480-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /v v <br /> Data Received Phone Wat for Permitting F81 3QQ- <br /> w6§88681 -- E ■ ®agar% 6Brrg <br /> onmesName TRINITY OF TAMPABAY <br /> Owner Phone 1813-541-1359 <br /> Owner's Address I52546TH STREET ZEP 33542 Owner Phone Number I <br /> Fee Simple Titleholder Name IN/A Owner Phone Number I <br /> Fee Simple Titleholder Address I N/A <br /> JOBADDRESS -F5254 6TH STR�ET ZEP 33542 LOTH <br /> F ZEPHYRHILLS <br /> suoorml*N CITY TIO 7 18 A I Q p,0, 'O�,qD PARCEL -26-21-0010-13300-0170 <br /> 49 PG 918 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> W=PROPOSED NEW CONSTP SIGN DEMOLISH <br /> INSTALL ARDEPDAXIRT = <br /> PROPOSED USE SFR = COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1COMPLETE RE-ROOF <br /> BUILDING SIZE SCI FOOTAGE 7 V HEIGHT <br /> -RL WWI"w1al WIT 1W 1K Is IK Im WIZIE&Z I <br /> --EHZ[S1NG 1$-1 cloo VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY = W.R.E,C. <br /> =PLUMBING 1$ <br /> =MECHANICAL r- VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V <br /> ----------- <br /> BUILDER COMPANY F <br /> SIGNATURE F REGISTERED I YIN FEE CURREN LtLN_j <br /> Address . I License# <br /> ELECTRICIAN COMPANY [ <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License# F- <br /> PILUMIRER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRR'EN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_ILN_j <br /> 71 Address Licanse# [ <br /> OTHER COMPANY ie%&LLCI <br /> SIGNATURE �--REGISTERM I LY2 N FEE CURREN I YIN <br /> Address License 0 1 CCC 11531%-5 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-YV Permit for new Construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans wl SIR Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large,projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsito,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Pernik for all new projects.All commercial requirements must meat compliance <br /> SON PERMIT Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> ---------- <br /> FIR out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement In required.(A/C upgrades over 675G0) <br /> Agent(for the contractor)or Power ofAftomey(for the owner)would be someone With notarized letter from owner authorizing same <br /> OVER THE COUNTER PERmn-nmG (copy of contract required) <br /> Remofs I shingles Sewers Sewke Upgrades A/C Fences(Plot/SurvoylFoDlage) <br /> Driveways-Not aver Counter if on public roackyays-needs ROW <br />