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813-780-W20 City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I I VA I I I 1 -1 <br /> Owner's Name meey#(naeo, Owner Phone Number <br /> Owner's AciclrossllQ,�-1 F rL-x5qaA*, �-0(2e &(,\P—U Oviner Phone <br /> Fee Simple Titleholder Name I szft Owner Phone Number <br /> fit <br /> Fee Simple Titleholder td=rtJ(? rQ��A_ <br /> JOB ADDRESS (MRqi�-q -9-MIA74 (Q�.3[ 4 Y )T LOT# F�W t <br /> SUBDIVIXP —al--WO-03900— 00&D <br /> (OBTAINED FROM PROPERTY TAXNG-nCE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> �? INSTALL REPAIR �+a6'Q I PROPOSED USE 0 SFR 0 COMM = OTHER C) <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL BtlL) <br /> lne.�t V-0 �P_I cow <br /> DESCRIPTION OF WORK <br /> M <br /> BUILDING SIZE SQ FOOTAGE c j EIGHT ntwkp I I. P. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING $a))UD VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> cy <br /> =PLUMBING 1$ <br /> �oo— <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> xBUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License#F_ <br /> ELECTRICIAN COMP <br /> SIGNATURE REGISTERED Y/N MECURREN LYLN-i <br /> J777777 <br /> Address ucanse <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED' Y/N FEE CURREN <br /> Address Ucense# F— D*^? <br /> MECHANICAL COMPANY = \�' <br /> SIGNATURE REGISTERED Y/N FEE CURREIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREKY/N <br /> License# <br /> Address <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 onsits,Construction Plans,Stormwater Plans w/Sift Fence Installed, <br /> Sanitary Facilities&I clumpster,Site Work Permit for subdivisions/large 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,Stormwater Plans w/Sift Fence installed, I <br /> Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is required. (AIC upgrades over$76M) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized fetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract requi <br /> Remfs if shingles Sewers Service Upgrades A/C Fences(Plot(SurveyiFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />