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81s-78D-O 20 City of Zephyrhills Permit Application Fax-813.78M21 <br /> Building Department <br /> Date Reamed . /. Phone cardact Far F . -. ( 3) 7t3'a - 6 40/3 <br /> Owners Name 1 / N RQV7!H'1 SI-War. r�11S►06 owner Phan Number <br /> owners Address l (� /� T✓ST Owner Phone <br /> Fee Simple Titleholder Name I owner Phone Number <br /> Fee Simple Titleholder Address t! r <br /> JOBADDRESS <br /> SUBDIVISION �' PARCEL ID6 rCP O�l Q�bD l�L�f:;CAtJ dl� <br /> JOSIAIxED FROM PROPERTT TAX NOTICE) <br /> WORK PROPOSED NEW CDNSTR ADD/ALT SIGN DEMOLISH . <br /> e INSTALL K. REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER I. <br /> TYPE of CowTRutiTidN = BLOCK p' FRAME STEEL = <br /> DESCRIPTION OF WORK. IA95, C `LhA-N t em4toms^j i"5 ..2 T�� <br /> BUILDING SIZE t 771 SQ FOOTAGE NMGHT <br /> =BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL {S AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S <br /> C�. <br /> bIECHANICAL. $ VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING Q SPECIALTY = OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ' <br /> BUILDER (r COMPANY . <br /> SIGNATURE ( REGISTERED Y/N FEE CURREN. LV.Lj. <br /> Address License#�. <br /> ELECTRICIAN �. COMPANY <br /> SIGNATURE' REGISTERED I Y/N FEE cuRREr, Y 1 N <br /> Address License#.i — <br /> PLUMBER COMPANY. ` <br /> SIGNATURE REGISTERED I YIN FEE CURREB I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t Y� - <br /> REGISTERED YIN FEE cURREn I Y/N <br /> Address l 1 2-- license# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED! I Y/N FEE CURREA_77 <br /> Address License#-�— !� <br /> I ! ! 1 ! ! 1 ! ! ! ! lIIJ'1111'.1lIf111l11'1. 1111.1111l111'Illllllllllll=111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction; <br /> Minimum ten(10)woridng days after submital date. Repaired onsite,Construction Plans,St6n* ter Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 durnpster,Sits Work Permit for subdivisionsnam.pralects <br /> COMMERCIAL Attach(2)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)woridng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new projects.All commercial requtrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW,construction, <br /> Directlons. <br /> Fill out application completely: <br /> Owner li Contractor sign back of application,notarized { <br /> N over M0,a NoffceOf Ccnrtrreneement IS Yegtrf . (A/C upgrades over$-INO) <br /> Agent(for the contractor)or Power•of Attomay(I-the Owner)would be someone with notarized letter from owner authorizing'same <br /> OVER THE COUNTER PEW4rMNG � . (copy of contract required) <br /> Reroofs If shtttgles "Sewers- Service Upgrades. 'Fences(Ftot/Survey/Foctage) <br /> Driveways-Not over Counter if on public roadways..naeds ROW <br />