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813-IBD-MO City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> PilupacgrqactforPMM 1( <br /> Data Received <br /> . . . . . . . . . . <br /> Owners <br /> Name .,� Owner Phone Number <br /> Owneer.Add. NeUA-ZIA11 owner Phone Number <br /> Fee Simple Titleholder Name F- Oviaw Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS UZZ-6a VR—UkZ)Z22 AA LOTf........... <br /> SUBDIVISION PAMM MI 3+ 25 21 Pbql) O-M-10-6 10-Wl <br /> (OBTAINED FRO.PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW amm ADDIALT F---j SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE r--j SFR 0 COMM OTHER <br /> Typs OF CONSTRUCTION M BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 7-0A1 <br /> BUILDING SIZE SO FOOTAGE HEIC44T <br /> . . . . . . . . . . . . . . . . . . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =rLUMBING 1$ <br /> rMECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =C.',AS r7 ROOFING 71 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED I YIN FEE CURREK <br /> Address F- License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRFj\ Ly�—N— <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YfN FEE CURREN <br /> Address License# <br /> MECHANICAL 4� J�� COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURRa I YIN <br /> Address fl�llv/ AWMA) License# &4eo T,?7 <br /> OTHER COMPANY = I I <br /> SIGNATURE REGIsrERED Y/ N FEE cuRREK L_LLN J <br /> Address ticense#F- <br /> Illlltlllllllllllllllllllllllllllllllllllllllltllllllllllllitllllll <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 ton(10)worldng days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&I dumpster Site Work Permit for subdivislonsilarge projects <br /> COMMERCIAL Attach(2)complete setsof BuildIng Plans plus a Lift Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ton(10)wodft days after submittal date- Required onsite.C;onstructfon,Plans,StormwaterPlans wl Sift Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.Ail Commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. <br /> Dfrocao.s. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notartzed <br /> Mover$200,a Notice,of Commencement Is required. LAIC 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 PERMITMNG (copy of contract required) <br /> Raroofs if shi Sel�oars�, <br /> ingles ServioebpgradesAIC " Fences(lloUSurvey/Footage) <br /> Driveways-NOt inier Counter if on public madways-rieeds,ROW <br />