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M348O.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 4rioq3 <br /> Da4r Reodved y .. ,.� — I _ [J II. - , !� <br /> .. ` Friona Contact for Plrmlttiry I • <br /> Owne?s Nance! 2 �P/ / 3 Y/ CaladW i. L L G j Owner Phone Number .5 ? -,?..?-6.6017 l <br /> Owner's Address I i/ *9 t# I Owner Phone Number j I <br /> Fee Simple Titleholder Name' 2er/*'r aweR,1 t5, 4 G c 1I AI Owner Phone Nttmaer I Q 1 <br /> Fee Simple Tittehoider Address 1 343 / SW f "frP�IJ L � V 1 fi r 41 i "el X 3�6 // <br /> JOB ADDRESS 1 / /02/ [ (6 Lam / ) Z'f�i or7 , Y/s /Tr' J ,, - 0. 1 LOTH I <br /> SUBDIVISION 1 2 whim [ evoli 1C 1 PARCEL 11:41 ;5 LS 21 0150 ®4a D0 G /¢O 1 <br /> (OBTAINED FROM PROPERTY TAX NOME) <br /> WORK PROPOSED NEW CONSTR ADIYALT EJ SIGN IL {t MOVE D r3EMOL)SH „ RI INSTALL REPAIR <br /> PROPOSED USE L SFR COMM J' OTHER j I <br /> TYPE OF CONSTRUCTION Eg3 BLOCK Q FRAME Q STEEL Q OTHER i j <br /> DESCRIPTION OF WORK " I VCk.tJ 1 L(.0• - B ine r t {w 1 t be, v 7 (i- AJ-Tiv es 6-,ewr CG/ /Q s I <br /> ammo we 1 J f.6 4 1 SG FOOTAGE 1 tad t' 5. r. 1 W=IGHT 1 itP ” (4 1 1 <br /> f3i3tLDtr;G A I - e, e) . VALUATION OF TOTAL CONSTRUCTION 32 6 11' , I 0 <br /> IRT ELECTRICAL 1$ S, L a 4 , O D 1 AAtP SERVICE 2 O0 e l PROGRESS ENERGY Q WRE.C� / � <br /> PLUMBING 1 3 206.0 I •`�1Q,r(„f)w ` <br /> i 7 1 �� ,� <br /> MECHANICAL 3 t ` , 46 1 VALUATION OF MECHANICAL INSTALLATION t � <br /> �} <br /> ) <br /> [� OAS #—} ROOFING (� 8PFC)ALTY [� OTHER Pt 1s t U (�Q4 l• <br /> FiNiSHEFINISHED FLOOR ELEYATIOti3 '-r. O 3REA uYES DNO s . 3 > self y' 1, <br /> \ <br /> BUILDER V 4.. COMPANY . v1. 1.... . t A.) - C.0 4 K. . ('J6. "� � <br /> SIGNATURE � � 1 :_ 1 REGISTER ® I:EE CURRENT raga <br /> Address v ' T (z)C1 I- . L . 54 <br /> ek „n ` 0 License* 1 <br /> SJ A� ��-u. c ro � a Z.2-6 441- AND � , j�/ <br /> [' /'/ R I Y/ N I FEE CURRENT CURR CURRENNT Y J N I <br /> Address {ZL S C I t H /Q(.t S , JV • t 'f' 3 � /o Licence # `t` T I /e, 4 /q1J 7 / 1 <br /> ,,. a, 2) c=at 1 /J 1 - ..J C0-2- . 'll ( 4,- <br /> I !►ATURE V "� -t✓J! - `. 61 STEREO ME FEE CURRENT i <br /> Address & 1' License j <br /> _ CAC 0 / 0 //y <br /> o u >tl. 1 449St) tale. /W S � .5 — �/ <br /> ttlAW 4.d -' �,. / .&! r 1 I REGISTERED 1 Y/ N i FEE CURRENT I Y/ N I <br /> Address OMIIII a W2%f! %0 1 Licenses 1 eA /0370 / 1 <br /> OTHER COMPANY 1 1 <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN <br /> Address I 1 Licenses I <br /> RESIDENTIAL Attach (7) Plot Flans. (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pam* tor new a netrucnon, <br /> Minimum ten (10) working days after submittal date. Required tins**, Construction Pans, &tornmratsr Plans vw Silt Fawn Installed, <br /> Sanitary facilities & 1 dumpeter; Site Worst Permit for subckvenorratiarge projects <br /> COMMERCIAL Attach (S) aompiete Sots of 8tulding Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction, <br /> ktinins3mte : 00) working days after submittal date. R.q.d ed crisis, Construction Ptara, Stornauster Plans •rill Sit Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SKIN PERMIT Attach (2) seM of Engineered Pions, <br /> ****PROPERTY SURVEY required for ail NEW construction. <br /> Directions: <br /> Fla out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> !foyer $2500, a Notice of Commencement is required. (NC upgrades over $5000) <br /> " Agent ( for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Ony) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways-Not over Counter if on public roadways.. needs ROW <br />