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r 8137S0-0D20 City of Zephyrhills Permit Application Fox-813-78MO21 <br /> Building Departmeftt <br /> Date Received Phone Contact for 1 Pormittingg <br /> 1 'm' I I I I'F <br /> Owner's Name Y� C1 %de Owner Phone Number <br /> OWner'S Address _..) d!�� OwtherPhons Number <br /> Fee Simple Titleholder Namir I Owner Phone Number <br /> Fee Simple Titleholder Adddrresss( <br /> JOB ADDRESS JJI, I,r� 'I/ -7 ,� (�L-OTT 8 <br /> SUBDIVISIONS �IISYY� IL PARCEL ID# Gp — 0- <br /> (OaTAWED 1". <br /> PROPERLY r"MOTIM <br /> WORK PROPOSED NEW CO. ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION ER y� B,LLO1CKK Q FRAME <br /> STEELQ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I I SQ FOOTAGElI HEIGHT E <br /> BUILDINGG S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E,C. <br /> =PLUMBINd S 1 <br /> t <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED N FEE CURAEI, I Y I N <br /> Address pqq <br /> I I I License# - <br /> ELECTfacm � COMPANY A.eop4e E IL-L to, Lw <br /> SIGNATURE REGISTERED I YIN FEE GVRRER I Y I N <br /> Address . ` STS Ucenso# �C 3001 A I <br /> PLUMBER COMPANY <br /> SIGNATURE REGMERED Y/ =EE CURREn !N <br /> Address ' Pa License# r-rC 4(Z 7i S Z <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURR9 Y 1 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURR`R`Ft, 1 N <br /> Address License#i <br /> fflltlltllll1e1f1ltilrlllfttNlfltltlllllilfliffiltltttlllt � iillltll � ttlll . <br /> RESIDENTIAL Attach(2)Pfot Plans;(2)sets Of Building Plane;(1)set of Energy Forms;R-0•W Permit for new construction, <br /> Minimum ton(10)wohkhtg days after Submittal date. Required oneits,Construction Plans,Stonri aver Plans wl Silt Fence Instaped, <br /> Sanitary Facilites&1 dumpder,Site Work Permit foraubdlviafansNarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lille Safety Page;(1)set of Energy Forms.R-t}W Permit for new consbxilon. <br /> Minimum ten(10)working days attar submittal data. Required orohe,Construction Plans,Stonnweter Plrtms wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpstm Sfte Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —'PROPERTY SURVEY required for all NEW construction. <br /> Oiroctlerm. <br /> Fill Gut application completely. <br /> Owner&Cordractvr sign back of application,nolahtied <br /> Never 52WD,a Notice of Commencement Is required. (AlC upgrades over S7WO) <br /> Agent(for the contractor)or Power of Attorney(far the ovmer)would be somama with notarized Idler from owner authorizing some <br /> OVER THE COUNTER PERMITTING {copy of contract required) <br /> Rerods if shingles Sewm Service Upgrades AIG Fences(PWSurvsvfFootsge) <br /> Drivewsys-Not over Counter If on puaio readwayti-needs ROW <br />