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FROM Wyatt WIt bbona Sheet Natal, Inc. (TUE)JUL 20 2010 S:27/ST. S: 27 /No. 762SOT7611 P 1 <br /> JUL/19/2009/SUN 02:53 PM ZEPHYRHILLS BUILDING FAX No, 813 - 0021 F.001 /001 <br /> 813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021 <br /> Building Department QQ 4 1(j �2 <br /> Date Received * 7i(,j ;—f'0 • • • ' Phone Contact forPerinitting (p / , 3 , ,..1 - 7,f24.5 • . <br /> Owner's Name F74, 44y ) . 2/s;1Aiy/ /,.LGs Owner Phone Number /i3' 793 - .ig <br /> Owner's Address 74 'J •9LL 4 /.scQ,. Owner Phone Number <br /> Fee Simple Titleholder Name . -/...1 , J./0V .Z# 1h: a4iL1 s Owner Phone Number' I . <br /> Fee Simple TidohotderAddreas ; . 7Oe O l .9 Lk • .4104 - //Z /..c F2.e _ ,.?3.7 An <br /> JOB ADDRESS YO 5 4'A 44. '.13L,,0 z / /G.T, / LOT# _ <br /> SUBDrVISION • #I, 9 a6 <br /> I. PARCEL - ago. ° G l ei - •cna? <br /> - r!:%6 /n <br /> 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED • n • . N EW C ONSTR _ ADD /ALT r---1. SIGN' <br /> 1 Q l� � DEMOLISH <br /> '. INSTALL .. REPAIR • <br /> PROPOSED USE • • ' I I SFR n' • COMM `• . I .I OTHER I . ‘ • <br /> TYPE OF CONSTRUCTION .r-m.... BLOCK .. , n F RAME I ' l STEEL Q I • • • <br /> DESCRIPTION OF WORK 6 'rifft r'S' } . 7;.;4.9&2•. tsw- 0 .vm A44' ' ' . . • <br /> BUILDING SIZE , . SQ FOOTAGE HEIGHT • <br /> rnBUIUJING $ '' I : VALUATION OF TOTAL.CONSTRUCTIOW5 C DO- <br /> nELECTRICAL • $ AMP SERVICE . . . I I , PROGRESS ENERGY Q W.R.E.C. <br /> I'IPLUMBING $ <br /> • <br /> IMECHANICAL I$ <br /> I VALUATION OF MECHANICAL INSTALLATION <br /> • <br /> nGAS I] ROOFING 0 SPECIALTY I-1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . • ': nYES . , • .. NO . . <br /> • <br /> BUILDER - / I COMPANY (= VX/7 //yp L dew 1 YLa0o� ■-i+/C <br /> SIGNATURE !A.!(� /.� f ./ REGISTERF� . l Y/ N . I FEE OURREP - Y 1 N r <br /> Address ' ...70 r 49:71.4.2.4 4‘.4. 4.1 <br /> .1/ € . I • ' License# I CGd /5/414, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE . REGISTERED I Y/ N 1 FEECtrRREr YIN' 1 • <br /> Address I License# <br /> PLUMBER COMPANY • SIGNATURE REGISTERED ' 1 Y/ N I Pee cunnEn I Y/ N 1 • drgs <br /> • _ 0. ' . • ' L icense # I . <br /> ' CAL pt n • • . . . COMPANY'. . <br /> SIGNATURE T e — ' .. REGISTERED . . • l ..Y / N 1 . FEE CURREI 1 Y / N . I <br /> COW %%TOES cilD St-f1-1.f C5U1b- t.ltku, 0 ' • Ucense# I • <br /> OTHER COMPANY ' <br /> SIGNATURE • : , . , Racismneo • 1 ' Y N l FEE CURREI 1 Y / N 1 <br /> Address License# ' • ' ' <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) sat of Energy Forms; R -O-W Permit for new construction, <br /> Minimum ton (10) working days after submittal date. Required onslte, Construction plans, Stormwater Plans w/ Silt Fence Installed,. <br /> Sanitary Faculties & 1 dumpster; Site Work Permit for subdMslonsAerge projects <br /> COMMERC$AL Attach (3) complete sets 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 submittal data. Required oneite, Construction Plans, Stormwater Plans w/ Slit Fence Installed, <br /> Sanitary Fealties & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. - • <br /> ••"PROPERTY SURVEY required for all NEW construction. . . • <br /> Directions: • <br /> Fill out application completely. . <br /> Owner & Contractor sign back of application, notarized • <br /> If over,$2500, a Notice of Commencement is required. (A/C upgrades over $7500) • <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'COUNTERPERMITTING (Front ofAppllca'. • • <br /> Reroofs If shingles Sewers Service Upgrades A/C , ..--T•- • • , •r, • • : - <br /> Driveways -Not over Counter if on public roadways..ne= • �TQ' • 41411141Irjg � <br /> 0 t� <br /> 6 ` 11f0 ..A.... OJT <br />