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APR -30 -2010 01:26 FROM: 727 585 8500 TO:18137800021 P.2/7 <br /> 813_7e0 -0020 City of Zephyrhills Permit Application Fax - 913.790.0021 <br /> Building Department <br /> Dab ROCeNed Phone Contact for Permhtl <br /> Owners Nome (Ylack-4- ? • rmi n q to m Owner Phone Number RI 3 IWT L0 5 <br /> Owner's Address ! 533(p 1(0 +\ j� ( Owner Phone Number l <br /> Fee Simple TIUeholdor Name! Owner Phone Number I <br /> Fee Simple Titleholder Addrose r I <br /> JOB ADDRESS 15 . S(49 1 U + h S+ 1 MM LOT * f 20 <br /> SUBDIVISION I 1 PARCEL !Del 11-26- W 2I - Io - ii ag o - o a ( 0 <br /> (OBTAINED FROM PROPERTY TAx NOTICE) <br /> WORK PROPOSED e NEW CONSTR Fi ADD /ALT 0 SIGN O MOVE O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE O SFR In COMM O OTHER ■• ..„7 ,�M• <br /> TYPE OF CONSTRUCTION O BLOCK MN FRAMES Q STEEL 1 /' OTHER r <br /> DESCRIPTION OF WORK A •a 174 to: hi.h p C - <br /> J(6 X` k r nce (of I LS) • <br /> ! 4 1 as 9a{e- <br /> 8UILDING 8I - S0 FOOTAG - , HEIGHT <br /> BUILDING IS, <br /> 0 VALUATION OF TOTAL CONSTRUCTION <br /> O ELECTRICAL IS I AMP SERVICE 0 PROGRESS ENERGY O W.R.E.C. <br /> 6(airt.4.. O UMBING <br /> �t ( (n <br /> O MECHANICAL IS VALUATION OF MECHANICAL INSTALLATION Q <br /> n GAS � - . : • -• ME PE(1ALTY Q OTHER O <br /> FINISHED F • - ELEVATIONS ' F OOD ZONE AREA OYES NO <br /> 1 <br /> - UILDER COMPANY I I <br /> GNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> A... el I Licenses I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE NkurSTEr1EO I Y / N <br /> I FEE CURRENT I Y/ N I <br /> Address I License I I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED <br /> I I Y / N I FEE CURRENT I Y/ N I <br /> Address 1 License e l <br /> MECHANICAL COMPANY [ <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address I 1 <br /> License M <br /> OTHER COMPANY ! <br /> SIGNATURE REGISTERED I Y/ N I PEE CUMENT I Y / N J <br /> Address I ( <br /> IDEA License e <br /> ie <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plana; (1) set of Energy Forme; R -O-W Permit ter new construction, <br /> Minimum ten (10) working days after Oubmittal date. Required oneite. Construction Plans, Stormwater Plana w/ SIN Fens, installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisinnanarge projects <br /> COMMERCIAL Attach (3) complete ssls 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 submiltal date. Required oneite, Construction Plans, Slormwater Plans w/ Silt Fence installed, <br /> Sanitary Facllkles & 1 dumpeter. She WOW Permit for an new propels. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> • •PROPERTY SURVEY required for MI NEW construction. <br /> ,, <br /> Fill out applicatIon completely. <br /> Owner & Contractor sign back of application, notarized <br /> H over 82500, a Notice of Commencement Is required. (A/C upgrades over $6000) <br /> •- Agent (tor the coMrekxor) 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 Only) <br /> Remote Sewers Service Upgrades A/C Fences (PIct/Survoy/Footage) <br /> DrIvaways -Not Ober Courtier if on public roadweys..needs ROW <br />