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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 Permlttin, — <br /> 111l1111 111 1 <br /> Owner's Name MUM Elias—Y-PAI-q Owner Phone Number <br /> Owners Address IA444 1 A,�1 1��y Y wh Owner Phone Number Q� <br /> Fee Simple Titleholder Name Owner Phone Number ^' <br /> Fee Simple Titleholder Address <br /> r^ <br /> JOB ADDRESS3G2 h rho Is � LOT <br /> SUBDIVISION PARCEL IDd J1A-U l21i 'W�JV <br /> Gr��r IOBN PROPERTY TAED FROM TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR reADD/P Q SIGN DEMOLISH <br /> B INSTALL ® REPAIR <br /> PROPOSED USE - = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK [] FRAME = STEEL = <br /> DESCRIPTION OF WORK -e V 0a 3y <br /> BUILDING SIZE SO FOOTAGE t ,i J HEIGHT <br /> =BUILDING s VALUATION OF TOTAL CONSTRUCTION lD I,1 3uo <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 5ZI ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA OYES <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA. I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREr Y I N <br /> Address I License 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREII I Y/N <br /> Address I License d 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREP Y I N <br /> Address License d <br /> OTHER COMPANY 1 V on <br /> SIGNATURE REWsTERED 1I�'�1J1 Yam/ N FEE CURREII I Y/N <br /> Address W� censeil <br /> rlrrrrrrrrlrrrtllrrrlrrltrrrlrtrrrrlrrrrrlrrrlrrrrrrltrllrrlltrrlrt <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 tan(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl SIR Fence installed, <br /> Sanitary Facilities&1 dumpster,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 onslte,Construction Plans,Stormwater Plans w/Sill:Fence installed, <br /> Sanitary Facilities&1 dunrpster.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 appecatlon,notarized <br /> r over$2300,a Notice of Commencement Is required. (AIC upgrades over$7900) <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 (copy of contract required) <br /> Ratoofs If shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootaga) <br /> Drlvaways-Not over Counter if on public readways..needs ROW <br />