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' 04/27/2!309 14:29 14075716861 SCI MAITLAND PAGE 02/02 <br /> • Fax- e1U- ftIWuZ1 <br /> - 613- 780 -0020 City of Zephyrhills Permit Application <br /> Building Department <br /> G /4et5 Cc y o , s/ ro _ 4'76 <br /> Date Kee void .4 ' Phone Contact for Perini • : c <br /> IIItmr. tit, Fst3.7s-3 -G; . • <br /> �p4 I\ospt4'AL - -Z 4 Owner Phone Number <br /> Owner's Rine <br /> " 7o S4 ( � -C_ 1 V/- Owner Phone Number <br /> Owner's ddrese I <br /> Owner Phone Number <br /> Fee 81mp • Titleholder Memel • <br /> Fee Sim. • Titleholder Address 1 788 Gam- (3L . <br /> I I LOT 0 � . <br /> JOB AD r' - US <br /> UMW ION 1 I PARCEL IDMI 0 Z 265 , 2,'- OW 1 U - o2.5°0 • w2-O 1 <br /> mermen FROM Montter( TAE NOTICEI <br /> �� ADDIALT n SIGN n MOVE n DEMOLISH <br /> WORK OP08ED NEW CONSTR r <br /> INSTALL MI REPAIR , <br /> PROPOSn " n SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION n BLOCK FRAME ® STEEL p OTHER 1 1 <br /> (q}iow ;roe. St w M>cDI /EVAN'S I CL Sp4C.e <br /> DtsSCR(' 1011 OF WORK 1 IRIS/AID,- R� l <br /> BUILDIN • SIZE I \\ auO5e A " SQ FOOTAGE) ST-104=1 I HEIGHT 1 1 <br /> • BUILDING (S I VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> IS AMP SERVICE = PROGRESS ENERGY ( WR.E.C. <br /> ' <br /> © PLUMBING IS 1 " • <br /> 1 el MECHANICAL I 30 K 1 VALUATION OF MECHANICAL INSTALLATION . <br /> • <br /> • <br /> = GAS n R r SPECIALTY El OTHER <br /> FINISHEI. FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO <br /> BUILDS I COMPANY 1 STe•VeNI C00.)S'INJC4t I <br /> SIGMA RE < < REds1ERED I Y I N J FEE cuwE - tar 1 Y 1 N 1 <br /> Ad esa I(o2n'. whtSre•f C/24 -C AL Ft ESS 33 19 Licenses I C.64. 657/f 3 I <br /> ELECTR • COMPANY L Y/N 1 <br /> I <br /> SIGNA RE REGISTERED .1 Y 1 N 1 FEE CURRENT 1 <br /> Ad' . I ' I License it 1 J <br /> COMPANY I I <br /> PLUM o <br /> SIGNAT RE REG ISTERED I Y/ N 1 FEE CURRENT I Y/ N I <br /> I A• . es I • 1 Uc•ase0 I <br /> • <br /> MECH ICAL �y /) COMPANY Iyy 1 ` , 1 F 4 /etrl 5 SWEET 87711— r` <br /> 810NA ` E " de/ REGISTERED / FEE CMR.0 I Y / N I <br /> Ad. ESE Icios ht) 4FkkBAI) h F'L. J3liS License* 1 CA7C. 33Sab 1 <br /> ' <br /> OTHER COMPANY I I <br /> SIGNA RE • REGISTERED I Y/ N I PEE CURRENT I Y/ N 1 <br /> Ad s I I license al 1 • I <br /> RESIDE TIAL Attach (2) Plot Plans; (2) seb of Building Plants: (1) set of Energy Forms; R-O-W Penult for new conouction, <br /> Minimum len (10) working days after submittal date. Required onsite, Construction Plans, Storrnwater Plans w/ Silt Fence Installed, <br /> Sanitary FaciiUes & 1 dumpetar, Site Work Permit for aubdlvtatonanerge projects <br /> COSINE • CIAL Attach (3) complete sets of Building Plans plus a Life Safely Page: (1) set of Energy Forms, R Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required omile, Construction Plena, Stonnwaler Plena w/ Silt Fence Installed, <br /> Sanitary FacllIUee & 1 dwnpater. Site Work Penult for all new projects. All commercial requirements must meet compliance <br /> • SIGN IT Attach (2) sets of Engineered Plans. <br /> — *PROPERTY SURVEY required for all NEW construction. <br /> • <br /> Directs • . <br /> FIN • t appNealian completely. <br /> 0 & Contractor sign bade of application, notarized ' <br /> If 0 r S2500, a NotiCS of Commencement le required. (A/C upgrades over 85000) <br /> Age 1 (for the contractor) or Power of Attorney (for the owner) would be someone wllh notarized letter from owner authorizing same <br /> OVER E COUNTER PERMITTING (Front of Application Only) <br /> R . • s Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driv ways -Not over Counter if on put& rvedway..n•eds.ROW <br />