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813-78C�D020 City of Zephyrhills Permit Application Fax-813-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permliting <br /> .... .. .... <br /> Owners Name Ul", V flnm CS Owner Ph—,Number <br /> Owner's Address U3 wpycss S+. -owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT <br /> SUBDIVISION Ili en nve� PARCEL IDOi-m-au a1-()0qo -OODOO -050 <br /> (OBTAINED FROMPROPERTY-TAX NOTICE) <br /> WORK PROPOSED e <br /> - NEW CONSTRR. ADD/ALT SIGN- DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.MSE SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Sq FOOTAGE. HEIGHT <br /> 11 1 1111444. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION I <br /> .=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E..C. <br /> [PLUMBING 1$ 1aoo OL) t <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER * <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES- NO <br /> a 1 1 2 0 R 0 ff 0 0 0 0 <br /> BUILDER COMPANY' <br /> SIGNATURE REGISTERED [ Y/ N FEE CURREN L_YLN <br /> LJ <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED L_1LJNLJ FEECURREN LLI/NU <br /> Address License# <br /> PLUMBER COMPANY Jc n IM30+fon I <br /> SIGNATURE REGISTERED Y N" _. FEE CURREN - <br /> 1b, 11 IfAi�rn P)d- License i L� <br /> Address > 23a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y_/ NJ, - FEE CURREI,- <br /> Address License# F77 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED -l' Y/ W_ FEE CURREN L_ILNJ <br /> Address License# <br /> 8uitding Plans;(1)set of rW,Foims-,-11;01W Pbrmlt for new construction,. <br /> .RESIDENTIAL:.- -Attach-(2),P�6tP16ns�(2) 'se'bot <br /> Minimum.ten-(-IQ)Working days after.,SdbffiItIaI'dat6:"Required ohsIta;:C6hstru6tlon;Plans;stormwater,06h's w/Silt Fence Installed, <br /> Sanitary Faclliffes;&1-.dumpstel-,,.;SlteWork:Permitforsubdiviiig(nsnargetpjojecto---�----..I <br /> COMMERCIAL Attach(3)complete sets of Building Plains Olus'a Life Safety I Page;.(1)set of Energy*Fonns'.R-O-W-Permit for now construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction <br /> on Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.AEI commercial requirements.must meet compliance <br /> SIGN PERMIT Attach(2)*6ets of EhgI.hedre4PIih's.- .-"% - <br /> —PROPERTY SURVEYrqqy1lrpd 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(iontra6tor)'or Power of Attomdy(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER,THE COUNTER PERMITTING . (Front of Application Only) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter Ifon public roadwaya..nieft ROW <br />