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-813-78MG20 City of Zephyrhills Permit Application Fax-8113a80-0021 <br /> Building Department <br /> Date Received <br /> I iPhone Contact for Permitting <br /> - - - - - - - - - - - - - - - - - - - - - - <br /> Ownees Name 'OkI-41-pasco 14cal-M core-Trop'-Md Owner Phone Number <br /> Owner's Address jq85 A/ MCU1ia�d4.a-!=3v5j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS re— Z- LOT# <br /> SUBDIVISION PARCEL IM91 141-2(p-21- 06-16-0)3 00-<301 0 <br /> (OBTAINED FROM PROPERTY TAX NOTIM - <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL R REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 04ackL12A <br /> BUILDING SIZE <br /> SO FOOTAGE HEIGHT <br /> I <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> r 1,71BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> r 2-7/(0 cc I: <br /> rK71ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> 4-11-114 <br /> 13UILDER .�' COMPANY <br /> SIGNATURE .. .......... REGISTERED Y/N FEE CURRMn L -_Nj <br /> Address 1L41`41 MLL&ACL4 Licensait <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ....... REGISTERED YIN I-stecuRREN XIN <br /> Address Ures. <br /> PLUMBER COMPANY <br /> SIGNATURE J _ REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURR6% YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of after <br /> rding Plans,(1)set of Energy Forms;R-O-W Permit for new construction. <br /> Minimum ten(10)worldng days, submittal date. Required onsite.Construction Plans,Stommvater Plans vd Silt Fence Installed, <br /> "Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Mffilmurn ten(10)worlding days after submittal date. Required onsite,construction Plans,Stormwater Plans cot Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> PROPERTY SURVEY required for allNZcoLlruclon. <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - <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 ever$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 Sevvmrs Service Upgrades Af6 I--(PlotfSurvey/Footago) <br /> Drivdways-Not over Counter If on public roa&rays..needs ROW <br />