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8f3.78tYit0 City of Zephyrhills Permit Application Fax-BIVWQ21 <br /> IIuildng Department <br /> Date Received RhorrsContatttor eormldt 'J� <br /> Owner's Nome ' a1: it�l. � Owner Rhone Ntlm6rnr <br /> Owners Address a Owner Rhone Number I <br /> ) <br /> Fee Simple TlOehotdgt Name <br /> 2 <br /> Fee Simple Tiitshofdir Address <br /> JO®ADORESS 3� LOTS Lim. .lam� <br /> i C4 <br /> SUEIDiVISiON - _5,� t+ARCIiI~ttNt <br /> ) laOruNso FRoa rRorsRrr TAX woneel <br /> WORK PROPOSED ® ta[tV C0r6TRE] ADOtALT Q SIGN Q t.� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR I`I trnaae Q OT ; i <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL ® [�'"�— f <br /> DESCRIPTION Of WORK <br /> BUILDING 8fZE SQ FOOTAGE HEIGHT <br /> QBUILOItvG VALUATION OF TOTAL CONSTRUCTION <br /> =ELEcratcAi, s AMP SERVWCE Q PROGRESS ENERGY Q W.RE.C. <br /> r <br /> =MECHANICAL S VALUATION OF MECiiAMICAL INSTALLATION <br /> =GAS ' © ROOFING SPECIALTY ® OTHER <br /> FINISHES}FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 666 <br /> r '�`' 999000 <br /> BUILDER 1 COMPANY 1 <br /> SIGNATURE F 1 REGISTERED I YIN In CURREN <br /> Address Uc`enSs#� �{ <br /> ELECTRICIAN COMPANY I ` <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y I N <br /> Address <br /> License#1 I <br /> PLUNERR A �. COMPANN <br /> SlONATtlRL rtixsStEKED (I TJ'41! ILA Feecuaat:a YtN ••�• ••••r <br /> Address C11 A ly License# <br /> KrGCtIANTQAL i COMPANY <br /> SIGNATURE a REGMTERED I Y I N Fie cuRRl w Y i N <br /> Address ( � License# <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y I N FEE CUt`RREN 774 <br /> N <br /> Adidress ( a`- License# i <br /> 1111'IIIIIIIItlltllllll� lllllllll1l11lllltltl ! ! ! ! ! ! !!! t !! !1 ! i!! i !! it ! <br /> IMIDIENTtF11. Atteohj(2)riot Plans;IC)sets of touading Flans;(t)set of tnergy Forms;H-Q-W Permit tor new construction, <br /> Minimum ten(10)worldndng days after submittal date. Required onsde,Construction Plans,Stormwater Plans id Sift Fence installed, <br /> Sanitary Facilities&t dumpstor,Site Work Permit for subdMitionsnarge projects <br /> COMMERCIAL Atfach'!10)complete sets of Building Plans plus it Life Safety Page;(1)set of Energy Fortes,R•{)W Permit for new construction. <br /> Minimp ten(10)wgrking days after submittal data Required ons,'te,Constructon Plana,StormMter Plans wd Silt Fence installed. <br /> Santta(y Facilities&t dumpstet Site Work Permit for all new pro)eets.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach((2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> ` DIreGUons.• <br /> P i out apppml-LZn a 4rR a ir. <br /> Omer contractor sign bact<ofapptLvstion,ratarized <br /> If over race,a Noose of Commencement Is required. (AIC upgrades over$7500) <br /> •• Agont(tor the Contrat,*r)or f aM'ar of Attorney Prins owner)vrculd be someone with nctariaad letter from Omer authorizing same <br /> 3 <br /> OVER THE CdUNMR PERMITTING (copy of contract required) <br /> Rome%If shingles sa'Mrs Sorvlea Upgrades A(C Fences(Plot/Survey/Footage) <br /> &I'MONaye-Not over Countor if on public roadviays..needS ROW <br /> s <br /> t <br />