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04/27/2009 15:25 FAX 7275300045 APG ELECTRIC Z002 <br /> 04/27/2009 14:30 14075716E161 SCI MAITLAND PAGE 02/62 <br /> • <br /> • <br /> 13. 780.0020 City Of Zephyrhills Permit Application " - rax- aTS- too -ouzi <br /> Building Department • GN�IS 600/4C• Da Roc Aired Phone Contact for FormitN L/0 s/ro - J r�7 <br /> O wners ame 7 -O P_tt T" <br /> ACSPt•4• -- z g14:1 OwnerPhonENumber S 3 - 7S (J D <br /> Owner's 'ddreae 1 '7DS 5 & 1{3cu.L• Owner w Rumbor 1 I <br /> . I <br /> Fee Sim - (o TlUoholdgr Namol.--: Owner Phone', liuriber I <br /> - Fee Slm.leTttleh01derAddress 1 COWS '�-' /3!-VD ,- - <br /> JOB AD ESS I <br /> r R LOT # I <br /> L. <br /> swim .ION . I • .1 PARCEL IDfSTOZ• Zc fZt.• O0 t • C:/g <br /> Q-5 s• cc2o <br /> • (011TAINEr PROPERTY TAX NOTICE <br /> WORK P - OPOSED - R NEW CONSTR 1 ADD /ALT n SIGN ' ' MOVE Q DEMOLISH • <br /> • INSTALL MI • REPAIR ' <br /> PROP • - D USE . I SFR - COMM n OTHER l 1•'t ) et,cs -SCE _.__ <br /> - TYPE 0 - CONSTRUCTION I l BLOCK I I FRAME . P4 STEEL ' T i OTHER I - j <br /> PESCRI ION OF WORK INTTatt01., ( ,)`IGUA - ViNN fbg,T,•lEW M'£Diegl f F:,t,Ann dickSpice <br /> • BUILDIN SIZE 11\ 3 Or / ( • •• SU FOOTAGE I fat C' ] HBGHT j <br /> BUILDING I$ ] VALUATION OF TOTAL CONSTRUCT ON ' <br /> L ELECTRICAL. $ • 015,coD. AMP SERVICE J ' PROGRESS ENERGY n W.R.E.C. <br /> © PLUMBING I J 1 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTA LATION . <br /> • <br /> n 'GAS ( ROOFING I= SPECIALTY Q OTHER <br /> FIN(SHED FLOOR ELEVATIONS I FLOOD ZONE AREA J :?•YES ONO <br /> • <br /> r.1 <br /> BUILDER ` COMPANY I Sttue, „ •• 1 .1 . GoNs}rvc-(- 1 <br /> SIGNATURE • ` ` REGtsTERFD 1 Y/ N , Fee UI RE T ( Y / N 1 ,11 <br /> � -]�� <br /> Address. Ilazfa Whrg. f • � <br /> ke Pi. AT, !v 3 !i ,iLlc # ESC 65-71 ee3 I Vi . U F� S IG �N ► n COMPANY 9 ' c <br /> L � �_ L 4 1 f I di <br /> / + L RiosTF,REO F£ RENT ] <br /> Addr'sse • = Z5 ” 1 40 - . S.4r iw. i4., cw1. 6-35 'License.# I i^ c ate., eiC I Sup Su0 I a ,, (; ' . <br /> J� r <br /> PLUMB COMPANY [ r l , / <br /> SIGNATURE /�.� �'��� `� REGISTERED I Y / N '. F aUWTENr 1 Y! N I 'y rte/ <br /> Address I License # I tL r <br /> I <br /> • MECUM ICAL COMPANY <br /> • SIGNATURE - REGISTERED I Y / N Om cUMENT ® , <br /> AddlKas '. License # I <br /> • <br /> OTHER I COMPANY I I <br /> SIGNATURE REGISTERED I Y/ N FEE CURRENT 1 Y/ N 1 <br /> Addreao I 1Ucense# I • I <br /> RESIDENTIAL Attach (2) Plot Plensi (2) sets of Building Plans; (1) set of Energy Forms; R-O -W Penrtdt for new construction. <br /> Mlnimum ten (10) working days after suemittal date. Required onsite, Construction PI<'.`TS, Stonnwater Plans w/ Silt Fence installed. <br /> • I Sanitary FacilUee & 1 dumpslsr Site Wgrk Parmlt for stlhd(visioneAarge projects ' <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufa Safely Paga: (1) set of Energy Fi.ims. R-0-W Penult far new construction. <br /> Mminum ten (10) working days after submittal date. Required putts, ConstnlcUon PI:'is, Stonnweler Plans w/ Silt Fence installed, <br /> Sanitary FadUUes & 1 dumpster. Site Work Permit for all new projeote. All commercial , mqulrernerus must meet compliance <br /> - SIGN PE M UT Attach (2) sets of Engineered Plans. - <br /> ""PROPERTY SURVEY required for ell NEW concetlaaon. <br /> Dtrectlors: • <br /> Fill c ut application completely. . <br /> Owner & consAgtor alga beck at application, notarized <br /> If o/er g25a0, a Notice of Commencement Is requires. (A/C upgrades over $5000) <br /> "" Aga d (far the contractor) or Power a( Attorney (far the owner) would be someone TMIh notarized letter owner authorizing same • <br /> OVER THE COUNTER PERMITTINI3 (Front of Application Only) - <br /> RaNOfs Sewers Satvlca.Upgrades AIC Fences(Plot/Survey /Footage) <br /> Drlveweys -Not over Gourif If on publIcraedweys::neecJL.ROW • <br /> • <br />