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813780.O= City of Zephyrhills Permit Application Fax-813-780-pU21 <br /> Building Department <br /> Efate Received Phone C=W for Permitting S/,I 2f.V — Q <br /> Phone Mmd;er's a .»� o Owner t)l 3' / <br /> owners Address 7 ( l��T i// t/� Owner Phono Numb" <br /> Fee Simple Tdte muter Name I — r-- Owner Phone Numbor <br /> i <br /> Fee Simple Titleholder Address <br /> .IoB ADDRESS 373 3I i/ ve , /`F�n� Sri 2oI�1 LOT# <br /> SUBDIVISION PARCit.Wx 3 �J � [//Z � 00000 f <br /> . (OaTARED FRON PROPERTY TAX NOTICE) <br /> WORK PROPOSER NEWrDNSTR ADDIALT SIGN 0 Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR: p COMM OTHER <br /> TYPE OF coNSTRucTIDN 0 BLOCK p FRAME �r] STEEL = 7777-1 <br /> DESCRIPTION OF(WO�RK e s y tn. C R N P_•-rj 7,*AJ Pk / Carom o "T <br /> BUILDING SIZE 1 SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ --- AMP SERVICE p PROGRESSENERGY p W.R.E.C..ddd <br /> =PLUMBING ($ <br /> MECHANICAL s VALUATION OF MECHANICAL INSTALLATION <br /> �301�vv �0 <br /> =GAS p ROOFING = SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 11 COMPANY (t�� <br /> SIGNATURE t REGISTERED I Y/N FEE CURREn <br /> Address License#1 <br /> ELECTRICIAN COMPANY !� <br /> SIGNATURE I REGISTERED � FEE cuRRi% Y 1 N <br /> Address License#I !� <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/N FEE CURRaw Y!N <br /> Address r License#1�—t <br /> MECHANICAL // -� .J COMPANY 1 !'T�/�J/Y�'J"H,V�(•7j'�57r + �i <br /> SIGNATURE REGisTERED Y/N FEE CURREt, Y 1 N� <br /> Address tit T I elll 2—H�4.43 L CIM#16760/13 1?Zf <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CuRREA I Y/N <br /> Address License#I <br /> IIfiIIi / Iilliti' !itI1IJIIIIIIIIiliIIIIII k nititIitIIIIIIIIIIIIIIIIit <br /> RESIDENTIAL Attach(2)Plot Plans;(2),sets of Building Plans;(1)set of Energy Fonns;.R-O-W Permit for new construction, <br /> Minimum ten(10)wmWng clays alter submittal date. Required onsite,Construction Plans;Stor mvater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of.Bulidng Plam plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wwidng days after wbm!itel date. Required Cnsite,Construction Plans,Stocmwater Plays w/Silt Fence Installed, <br /> Sanitary Foa dies&1 dumpster.Site Work Permit for all now projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Flans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Dfreetlans: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/c upgrades over s75m) <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 COUNTER PERMITTING (Copy of contract required) <br /> Reroofs if shingles Sewers Sendoo Upgrades-A!C ' Fences(Ploysurvey/Footage) <br /> D&eways-Not over Counter if on public roxWdys,areeds ROW <br />