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City of Zephyrhills Permit Application Fax sl3-zao�to2t <br /> Building Department <br /> Data Received M <br /> Phone Contact for Perm 545:1 <br /> . <br /> Owner's Name 2, Owner Phone Number <br /> Owner's Address i Owner Phone Number <br /> Fee Simple Titleholder Name owner Rhene-Murnbc, <br /> Fee Simple Tilloholdor Address <br /> JOB ADDRESS LOT# v-7,3 <br /> SUBDIVISION 4, t\1 e;C,r—j C PARCEL ID0 <br /> 1111rr TAX ARIEDF40MIROPERTY -0Tl CE) <br /> WORK PROPOSED l .,."",R ADEXALT = SIGNar7 DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFP = r-y?�a? <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION Of VV RK ut-, <br /> BUILDING SIZE Fi�i SO!FOOTAGE HEIGHT <br /> . . . . . . . . . . <br /> r7BUILOING Is VALUATION OF TOTAL CONSTRUCTION <br /> "eLECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> GZPILUMBING <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING M SPECIALTY OTFER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> But,can i pp COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address r License#F- <br /> LECTRICIAN COMPANY <br /> IONATURS F REGISTERED I YIN FEE CURREN L2Y!N <br /> Address License <br /> 31 <br /> PLUMBER <br /> $10HATURE COMPANY <br /> fti(VAERED AQ v <br /> Address - License# <br /> MECHANICAL i 'COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> Address Licenself <br /> OTHER <br /> COMPANY <br /> SIGNATURE REGISTERED Y IN I FEE CURREN I VIN <br /> Address J License <br /> RESIDENTIAL Aftocni.C2)Plot Plans;t2)sets Or 1:11,111CIng Plans;(i)set of tnergy Forms;H-U-w Fermlt tor new construction, <br /> Minimum ten(10);Acrldng days after submittal date. Required onsite,Construction Plans,Stornwrater Plans 4 Sift Fence installed, <br /> Sanlla'ry Facilities&I dumpster,Site Work Permit for subdNisionsIlarge projects <br /> COMMERCIAL Attachl'(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,Constructor Plans,Stormwater Plans wt Silt Fence Installed, <br /> Santafy Facilities&i dUMPSter.Site Wo*Permit for all new projects.All commercial requirements must meet compliance <br /> SION PERMIT Attach;1(2)sets of Engineered Hans. <br /> .. . . . . PROPERTY SURVEY required for all NEW construction. <br /> 16 <br /> Directions: <br /> Mill <br /> Owe r sign back of application,notarized <br /> If over$2500,a Notliecif Commencement is required. (A!C upgrades over$7500) <br /> Agent Or the contractor)or POMI Of Attorney(forthe over)would be someone with notarized latter from owner authorising same <br /> ii OVER THE!COUNTER PERMITTING (copy of contract required) <br /> Ratoolis If shingles Sewers Service Upgrades AJC Fences(PlotiSurveylFooliage) <br /> T. <br /> Dirlulilways-Not over Counter 0 on public roadways.,needs ROW <br />