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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitti n g 72 <br /> Nagai J'A <br /> Owner Phone N <br /> Owner's Name umber <br /> Owner Phone Number <br /> Owner's Addressl ec; K 1 :,0. <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholde,/dddress <br /> JOB ADDRESS I-? i fit'ty&L <br /> Z. LOT# <br /> S r _q <br /> SUBDIVISION 2e,0 A PARCEL I D# 2 6-ZI Q010-13 Z 00 Cf <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F-1 ADD/ALT SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK lqePZ� wlAk06 -5 e_ A,� -5 v' 1:2 e-- <br /> BUILDINGSIZE SQ FOOTAGE HEIGHT [-= <br /> .�Nr-r- <br /> UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$(pr AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ //--\U ed po / <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION J&Dt � <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY � A7774+ 8-4-1 <br /> SIGNATURE REGISTERED YJ N FEE CURREN <br /> Address li074/trovap4voa-woyob 377-2 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address I License# F_ <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED YJ N FEE CURREN L11 N_J <br /> Address License# <br /> MECHANICAL ��i� COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN J <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YJ N FEE CURREN L=N <br /> Address License# <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&I dumpster-,Site Work Permit for subdIvisionsAarge projects <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)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.AJI commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> --PROPERTY SURVEY required for all NEW construction. <br /> D 'lli .4 ire <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 contractor)or Power ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />