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813-78M020 City of Zephyrhills l4ennit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received PhFgc!C*ntact for Permitting- <br /> Itu <br /> Owner's name uv Owner Phone,Number <br /> Owner's Address 1H(90) U3 Naess Owner Phone Number <br /> Fee Simple Tiffoholdar Name- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FQ—w E)oi� SF- LOT 0 <br /> SUBDIVISION We lyact PARCEL=105-W-91 -0(-�6-0 -00LOW-00`40, <br /> (OBTAINED FROM PROPUKrYTAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR- ADD/ALT' SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFP Q COMM OTHER <br /> Typs OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQFOOTAGE= HEIGHT <br /> "444444444 <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY' WICE.C. <br /> *PLUMBING I$to-M 06 �r �qq It,- 4", <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION P(J I'd <br /> =GAS W 11 <br /> ROOFING SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO YN I(PAIJ <br /> 114444, —...... ....... .................I.. ....................... <br /> BUILDER COMPANY <br /> SIGNATURE f2EGi57ERED I Y/N FEECURREN YIN <br /> Address Ucense#F- <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE F REGISTERED I YIN FEE CURM <br /> Address LIcense# <br /> PLUMBER COMPANY �He-VNKS-)(A <br /> SIGNATURE r KIM Z�- REGISTERED YIN . FEEcuRm F YA <br /> Address I HCH I 171SC-WicAlem I ub�5-CmaN <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN -FEEcURREI, L_y"N <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1'Y1 N. FEE CURREN <br /> Address License#1 <br /> ........... <br /> RESIDENTIAL -Attach R-04 Permit for new construction, <br /> Minlinum.19111(10)wc#lng days after submittal dater.'Required onsite,Construction Plans;StOrmwater Plans w/Silt Fence installed, <br /> Sanitary Fadlittes,&1.dumpsteq$Its Work Permit for subdivislo'nsilarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Pa.go;(1)set of Energy Forms.R-O-W Permit for new Construction. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpsten Site Work Permit for all now projects.Ali Commercial requirements must meet Compliance <br /> SIGN PERMIT Attach(2)'SalsofEngineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300.a Notice of Commencement Is required. (AIC 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 .(Front of Application Only) <br /> Reroofs:If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> DrIvewaya-Not over Counter If on public roadways-n6eds ROW <br />