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813-780-0020 City of Zephyrhills (nation Fax -813 - 780 -0021 <br /> Building Department <br /> n. a 91 " tt <br /> Dab RereHed Phan Contact for 1 1 B/Th 1 • - [� <br /> Ownees F Owner dhow" ES `► Orreries Orreries s Address ' . -- :� � 7ti Owner Phan Number 1 l <br /> Fee Simple Titleholder Mantel l 't' I Owner Phone Number i <br /> Fee Simple Titleholder Address <br /> Pak 1 <br /> k (ll <br /> s 1 � <br /> JOB ADDRESS ss 1 C �l k t\J . i-t P `�[^ <br /> -, a - * 1 L07# I 4t5 <br /> SUBDIVISION PARCEL ID/'12.L-11-21L-1 LDtt Utl> <br /> (OITANED FROM PROPERTY TAX NOTICE.) <br /> WORT( PROPOSED l CONSTR H ADD/ALT Q SIGN El MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ��3FR n COMM Q OTHER <br /> TYPE OF CONSTRUCTION J BOCK + U 1 FRAME Q STEE OTHER f ! j i l64' <br /> DESCRIPTION OF WORK <br /> ]\ �l X 1 n A(l l 4 M' 1 ( C n �cc r 4 ea <br /> DING <br /> BUIL s¢E 1 4 r r � ` I i S0 FOOTAGE 1 5‘ HEIGHT <br /> BUILDING 471f1 iippr VALUATION OF TOTAL CONSTRUCTION A 4 to it <br /> WWWW <br /> ' / ELECTRICAL IS I AMP SERVICE 1 ENERGY Q W.RE.C. <br /> r" PLINKING IS I <br /> MECHANICAL $ I VALUATION OF MECHANICAL INSTALLATION <br /> n � n ROOFING n SPECIALTY n orma FLOOR ELEVATIONS I FLOOD ZONE AREA nlYES zg ie <br /> r � BUILDER i <br /> SIGNATURE F. L_ B// A74 r.ratM ME 1 <br /> /�1� - li FEE CURR © , m all _ . <br /> Address Iej U�� / �i/�t74 license „=fitwl +.'�- cis <br /> SIIGNA RE i� ((A /� h iDM F CURRENT / E <br /> Addre e3C1 ')+t � <br /> PLUMBER a Ed t ayi.yrhi II.$ [ Llama* It. � i ( t U 1 <br /> _ <br /> SIGNATURE � COMPANY ` r r I !�. ��I I Y <br /> E �v - g7EpEp ��� FEE CURRENT r ARM <br /> Address MiTiallIM7116721117.1711Z License A I \- i.) ` 4 C 1 <br /> _ / t <br /> MECHANICAL /T�1 <br /> SIGNATURE /� / '� ` ' � 7 '� (.( Q REGISTERED 101 N r / /N <br /> Address ElillIES i!_1'�� _ fi� illh: License r1 [rtaral <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED i Y/ N <br /> i FEE L11RPfrtT I Y / N ' <br /> Address 1 License 1I 1 1 <br /> RESIDENTIAL Attach (2) Plot Plana (2) mats of Building Rem ( set of Energy Fame: R-O-W Permit ter new construction. <br /> Minimum ten (10) warldng days attar submittal date. Required ensile. Consbmdion Plans, Stonnwrater Plans wl Silt Fence huddled, <br /> Sanitary Facilties & 1 dumpsite': Site Work Permit for subdivisions/large pe,.cts <br /> COMMERCIAL Attach (3) complete sets of Building Plena plus a Life Safety Page: (1) sat of Energy Fans. R-O-W Permit for new construction. <br /> Midrman ten (10) working days after submittal date. Requited onsita, Construction Plats, Slormwata Plans w/ SR Fence installed. <br /> Sanitary Fadities & 1 dumpster. Site Work Peon& for all new projects. AN commercial requirements must meet compliance <br /> SIGN PERMIT Abed' (2) sets of Engineered Plans. <br /> "PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill our appiration completely. <br /> Owner & Contractor sign beck of application, notarized <br /> H over $2500, a Notice of Commencement le required. (AMC upgrades over $5010) <br /> Agent (for the contractor) or Power d Attorney (for the owner) would be someone wifr nofar¢ed letter tom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front &Appicaion Only) <br /> ----- Reroats Sowers Service Upgrades A/C Ferree (Plot/Survey/Footage) <br /> Driveways-Nat over Counter if an pubic roedways..needa ROW <br />