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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-OD2i <br /> Building Department <br /> Date Received 15 V I Phone Contact,for-Permittlika;': <br /> Owner's Name LMY v' -Hoffle-S .... ......Owner Phone Number <br /> Owner's Address iqW00 -UD CQ Pves,5 S�- Owner Phone Number...r <br /> Fee Simple Titleholder Name'. -owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Poden 0)-ai sf. LOT# <br /> SUBDIVISION Vera :PARCEL ID#j 05— aw - a 0ol 0—Oo3w—ot <br /> (OBTAINED FROJUIRROPERTY-TAX NOTICE) <br /> WORK PROPOSED NEW CON5TR ADDIALT' SIGN'- Q Q DEMOLISH <br /> INSTALL L_j REPAIR <br /> PROPOSED--USE Q SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION lQ BLOCK FRAME Q STEEL <br /> DESCRIPTION OF WORK.- <br /> OTAGE HEIGHT' <br /> BUILDING SIZE SO FID ..�____�_ <br /> =BUILDING <br /> VALUATION'OF TOTALCONS*OCTOW <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING­ <br /> 1$ t <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS. 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO <br /> ...........I I I HH! if 111 11 !,If 1-1111114 1+141114111 114 1104 1-11 i 1:2 1111 1111 11 i.I I I I.HHHi 14+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N -FEE CURREh _ILNLJ <br /> Address License#'F_ <br /> ELECTRICIAN, <br /> COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUW9, <br /> Address License# 7 <br /> COMPANY e—VI d ey:5� IVVIO <br /> SIGNATURE ff REGISTERED I YL N., -.-FEECURRM <br /> Address <br /> MECHANICAL COM ANY <br /> SIGNATURE REGISTERED,, Y.1 N, FEE cuRipth: <br /> Address`` License#' <br /> OTHER PAN*:* <br /> 'SIG14ATURE RE <br /> GISTERED <br /> GEITERED Y/ N' FEE CURREh <br /> Address so rew Lk:�6n # <br /> ........ ..... <br /> RESIDENTIAL,,",":. Aft,adtf(2),P16f_PIa6e.._(2)sets:of i6i of------ �10i�6 jFoimsA�" *Pe lifoi.new.6o4"ycifori.- <br /> .­:MlnlmumAirr(jQ),. n§,,daysafl6aFb Nevis 4 StItfence Installed, <br /> SU In <br /> 'Safiltary F.— <br /> c" 01 h.0166 life tafity Page;'(1)set of Energy Forms.R-O-W Permit for new construction., <br /> 'COMMERCIAL Attach(3),*ompletti sets of Bulldlnig Plans a <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projdcls.All commercial requirements,must meet compliance <br /> SIGN PERMIT Attach(2ysdhi of EndjneqredeP)am;;._ <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., (AIC upgrades over$7500) <br /> Agent(for th6 66niiadoi)or Power of Attomey-ff6i the owner)would be someone with notarized letter from owner authorizing same <br /> DVER-THE COUNTER PERMITTING -(Front ofApplication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Won public roa"ays..needs ROW <br />