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r ._ 813 - 780- 0r_2D City of Zephyrhills Permit Application Fax-613-.78(1.0`3:1 Building Departrnant Date Received I Phone Contact for Permitting Owner's Nam* on l.. 14 . C ] 0 h r ) ,S 0 Y) O wne r Phone Number 1813 • • 9'33 0 4 29j • Owner's Address [3 6. 2.c mact c co L N _ �aco P�Owner Phone Number ( Fair Simple Titleholder Nano• L _ -___- i Owner Phone Number I � Fee Simple TI[laholdsr�rAd�- C-r7+i6s — +^ 1 - �_. .. �� . _ - - -. — l ' JOB ADDRESS I / -� �C-03, 1 . { 1 j U �! ____ LOT # �] SUBDIVISION i , � �__ ___ 1 PARCEL ID# rr s ' - r 0) 3 0 - 0_? 0 0o . 01410 (OBTAINED FROM PROPERTY 1AS NOTICE) WORK PROPOSED F Ntw CoNSTR ADD?ALT L 1 SIGN L____; = DEMOLISH F7 l INSTALL REPAIR PROPOSED USE I l 3FR I CU�ICA 1-' j UTHER 1 __ __,_, _ 1 TYPE OF CONSTRUCTION , L i BLOCK FRAME FRAME L STEEL cI 1 - l ol b 1 t 0u - -- • DESCRIP "I1ON OP WORK { ._ _ __ ^__ HUILGIN(3 SIZE [ - 4 6 $ 75 J fiSJ FUU'TAr. � a0 o� HEIGHT ! i If,l1ll,i,lttit1111,.rn.,l.11 .,„ - Yt ,:1111.1 ErfttHtlrtti -trf + 1 „ +t- 'r11, if r, 1, 1 „ tttttttt1*H I IBULLDING L. ._. I VALUATION OF TOTAL CONSTRUCT! L �i3 ( c , n N o_1 E. - r1 1 / I AMP SERVICE I PROGRESS ENERGY LJ W.R,E.C. -1PLJMHIN3 IS Li ((D j '1MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION • I ;GAS [ I ROOFING l SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS F .------- 1 FLOOD ZONE AREA I IYES NO • •.••..•..- ..w • • . ••.- .. . • . ea till r` ElUIL.DEIR C OMPANY •••• in _ L t n c a- co n S+ru c 41 or> SIGNATURE 1 ,il T T _ , REGISTERED L V 1 N j — FEF CURREt I Y1 N Address r L I 1 & O 4 -1 I l u A z 3355_1 License # I ORD it SO– — 1 • ELECTRICIAN '� f� _ C OMPANY ' d •r, • • �` C 'I' SIGNATURE /.I_ '`_, - -�'--�/ � REGrsTERED FE CURftkh Y N I • Addrees { - ..., A , . pi: -.g 41 L # L - -- /� PLUMBER i A r i — COMPANY jv, /, f � � Q l (/�1 t.C1 ✓ SIGNATURE A. L I A • _J FEG13 fEREO I �� (T i N 1 FEE CLARE! Aadrese I ,3/� va ,('ff lfes . - //� 04 Licenba # LCC FC o 15 jI l� Q 1 MEOHANICAL 2 _� 7AJ ' ! COMPANY - _ SIGNATURE � ' , "v -- V ` REGISTERED ? N kCURREL ti� - Address `3Z�_ _ 4 L 77sp1 - L'-^s" 1 cFr6 f” OTHER 1 C OMPANY I L l SIGNATURE 1._.___.� k REGISTERED L_Y 1 N l use CURREN L Y! N J Address j .�� -- --- License # 7 - -- - • RESIDENTIAL Attach (2) Plot Plane; (2) seta of Building Plena; (1; set of Energy Forms; R -O -W Permit for new construction, Minimum tan (10j working days after submittal date. Required onsite, Construction Plats, Stormwatar Plana w/ Slt Fence instated, Sanitary Facilities $.1 dumpster; Site Work Permit for subdiviaionallarge prologs COMMERCIAL All .'h (5) Complete sets Of BO /ding Plans phis a Life Safety Pep; (1) set of Energy Forms. R -O W PcrmIl for new conetn;clion. Minimum ten (10) working days after submittal date. Required onsite, Construction FADS, Stormwater Plans wr Slh Fence travailed, Sanitary Faci!Itles & 1 dumpster. SIDS Warn Penr.Y for all new porecte. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets 0 Engineered Plana. ""PROPERTY SURVEY required for ail NEW construction. -H1 Vii I1111!i 1 - tool, 111 i;li:111111,i 11ill I i Ili r.ri li +MtfttrtH+H1'r' Directions: Fit out application completely. • Owner & Contracloi slur, bees of application. noterized M over 52600, a Notice of Commencement Is requ (A!C upgrades over 5761181 Agent (fur the contractor) or Power of Attorney (!or the owner) would btomecre witn notarized latter `rom owner authorizing same OVER THE COUNTER PERMITTING ( r Fru, of Nardi' ration Only) 1 Rercofs if shingles Sewers • Ser✓ica 'Jp ra^_es Fences {PIoVSLr ey!Footage) Driveways - Not over Counter if or pubes^ roadwo . ;weak: ROW . 9 / .