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FROM Wyatt Fitzgibbons Sheet Metal. Inc. (TUE)JUL 20 2010 6:66 /ST. 8:66 /14O.762607T612 P 1 JUL /19 /2009 /SUN 02,53 PM ZEPHYRHILLS BUILDING FAX No. 813 P. 001 /001 B13 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department 'tlt� � / • Date Rece ived '-7 _ f 5. —(0 ! - r - J Rec - 7-'1 Phone Contact for PermRtln • / 7 d;._5: Owner's Name p ,4 4.y . 2� <J{4 j,;o � ,'LLS • .' Owner Phone Number 4:4/0 / - 78 - ; q q • Owner's Address 742,'0 '47..4-.1- 4. 7 .4...a -: ' I • Owner Phone Number Fee Simple Titleholder Name ..1r /kg,_ .2it�ILr,2",4;4.L.� I • Owner Phone Number • 1 . • Fee Simple Titfeholder•Adddress ; 7O,4 O l /t A4 /11.r>'.I2.. :./L4: #L./1, ,F, ?7 a✓/� JOB ADDRESS • /%J O t 44. .(3/j, ..• 0-•/ 1 LOT # - • SUBDIVISION . PARCEL ID$I - - . 2 o -- ,- - Gt.9 -t J /C7 • (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED l---1 . • NEW CONSTR • ADD /ALT . r-., SIGN 1 ; Q . DEMOLISH INSTALL _ REPAIR PROPOSED USE • • ' r- SFR • ' • n' COMM' •. I .I : OTHER 1 . . • I TYPE OF CONSTRUCTION 'F BLOCK . 'El FRAME [ STEEL n ' ' • • I • ' ' • ' l DESCRIPTION OF WORK flo 4J, , krig. __"_ ' '. ' . . • • • BUILDING SIZE SQ FO OTAG E- HEIGHT ' • . • F]BUILDING 1 $ . VALUATION OF,TOTAL.CONSTRUCTIOt/ /J O00• n1ELECTRICAL • • $ AMP SERVICE . n , PROGRESS ENERGY I—) W.R.E.C. • F PLUMBING $ • • • . • I (MECHANICAL `$ VALUATION OF MECHANICAL INSTALLATION F • n ROOFING Q SPECIALTY 1 I OTHER • FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . 1 . , • . . NO . • BUILDER / Y�J �J �y i • SIGNATURE (- k ! ... t L. / ' _, R GISTERED . . I Y / N PEE CURRE� I Y� ..11/C..._ Address 3330 5"" tfroi.n.4 •..e /<A.4 /4/i. 1 . ' . ' license # I66'L /574//p It; ELECTRICIAN COMPANY l SIGNATURE . . REGISTERED 1 Y/ N 1 FEE'WRREt. 1 Y/N 1 • Address 1 1 License # PLUMBER COMPANY' I . SIGNATURE REGISTERED ' 1 Y/ N 1,' ree CURREl• 1 Y/ N 1 drec / V . • • . ' License# 1 • . , CA L r COMPANY'. 1+Y 4 Fr ` YJp � Oos SINe V 1 `c. IN:-... SIGNATURE hy/ — " '' ' • .. REGISTERED . . • I ..Y 1 N 1 •IEEe CURREP I Y1 N . 1 ilf/ e - €3l3 - 7: CD2/ Andreas clt95 s t o s3c -14 - I,6 n) ' . license # I (rf\ C C 33 (o I OTHER . COMPANY SIGNATURE • . •. REGISTERED ' 1 ' Y / N • 1 FEE CURREI. I Y / N 1 Address I . License# 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O-W Permit for new construction, Minimum tan (10) working days after submittal date. Required ensile, Constructor Plans, Stormwater Plans w/ Sill Fence Installed, . Sanitary Facilities & 1 dumpster; Site Work Permit subdivisions/large projects COMMERCIAL Attach (3) complete sels of Budding Plans plus a Ufe Safety Page; (1) set of Energy F.onns. R -O-W Permit for new construction. Mtnlmum ten (10) working deye after submittal date. Required omits, Construction Plans, Stormwater Plans w/ Silt Fence Installed. Sanitary FacI11Ues & 1 dumpster. Site Work Permit for all new protects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. . - • ""PROPERTY SURVEY required for all NEW construction. . • . Directions: • • • Fill out application completely. Owner & Contractor sign back of application. notarized If ever $2500, a Notice of Commencement is required. (A/C upgrades over ST500) "* Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same .OVER THE COUNTER PERMITTING (Front of Appllca ' • • ) . Reroofs If shingles Sewers Service Upgrades NC .rwr- • ' „ f Z � • • : - • Driveways -Not over Counter if on public roadways..ne= . • ' wire ' *lot vow I . SrOT;lr gi, • strtrtd tralnial Mloa SS"