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e <br /> 4! , � s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmeni , ` ��r/Jp�` C�2 (�+7 <br /> �pc� L ( J b G. <br /> Date Received Phone Contact for Permittin 813 485 6799 <br /> Owner's Name Melba Niepoetter Owner Phone Number g13-788-9212 ' <br /> 37516 Laurel Hammock Dr.,Zephryhills 33541 813-546-6998 <br /> Owners Address Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37516 Laurel Hammock Drive,Zephryhilis 33541 LOT# � <br /> 34-25-21-0100-00000-0150 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> - WORK PROPOSED NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 3TE L Q <br /> DESCRIPTION OF WORK Instali Photo Voltaic System <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � 1 <br /> QBUILDING $ Z��g00. VALUATIONOFTOTALCONSTRUCTION �,�/-1�'1`�� <br /> XQELECTRICAL $ �000. AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ✓ <br /> QPLUMBING $ � cn`i ����� <br /> � .yCi�., <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ,QrI/1 � � <br /> �W� <br /> /�Cj.�l'. � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER V �^:/� �� <br /> V(I `�.� - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -"-"-" o � o a s a a o o a s a i i i ! S 8 4 6 � G i i L 4 i 4..7 5.3�3..3�� <br /> BUILDER COMPANY Y <br /> SIGNATURE REGISTERED Y! N F�cuaFten Y/N <br /> Address License# <br /> ELECTRICIAN � O � COMPANY Y <br /> SIGNATURE }+ REGISTERED Y/ N F�cuaaenJ _-Y�EN---_.__ <br /> �` <br /> Address " Licens�� _ �3��'��� � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuw�. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br />� SIGNATURE REGISTERED Y/ N peECUwtEn Y/N <br /> Address License# <br /> OTHER � COMPANY Y <br /> SIGNATURE REGISTERED Y/ N F w�n YTty_ <br /> Address icense# a- <br /> 1111111�111111111111111111111111111111111I1111.1 111111111111111 11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permitfor new , <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL 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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2j 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. (AlC upgrades over$7500) <br /> " Ager,t(for±he contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> - <br /> - OVER THE COUNTER Pk'RM177ING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) . <br /> Driveways=Not over Counter if on public roadways..needs ROW <br /> _ - <br /> ,_ ._._ _ .._ .. _ _ - _ , <br /> . <br /> L - ' ::.._ .' ____--_ ,_,. . - " . _�----, : _, _ - ' ,.� � � - _ : - - _ -. _ <br />