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813-78MO20 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department a <br /> Date Received Phone Contact for PermittIng'i ) p <br /> "TTTTT�i"lf"i` Y <br /> Owner's Name ^r�M AIL Owner Phone Number <br /> Owner's Address amnu� . S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LAurneAk ry ^^Y111IS 4L LOT R I� <br /> SUBDIVISION 04-S PARCELID# —cGkf-Ol,—M30 Q&'A= <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED Ei� NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR © Cow OTHER <br /> TYPE OF CONSTRUCTION = - BLOCK `` FRAME = STEEL = <br /> DESCRIPTION OF WORK �o-1 l C d <br /> BUILDING SiZE I O X l O SQ FOOTAGE® HEIGHT <br /> 7 <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> Jl l/ J <br /> L ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W,R.E.C. <br /> =PLUMBING S go <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY rvo.n7prOOGAI S <br /> SIGNATURE t REGISTERED ICYJ N FEE CURREA LMLN <br /> Address h 335 license*I C.,M <br /> ELECTRICi COMPANY e C+-Q-1 L <br /> SIGNATURE REGISTERED ICU N FEE CURREA I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> eeelleeeeeeeereeteeeeeeeeeeleeeeeeeleeeeeleleeeeeeleleeeleeeeieeeee <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)working days after submittal date.Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Pans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <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 Service Upgrades A/C Fences(PlotfSunreyfFoctage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />