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e1e Tao-0ozo City of Zephyrhills Permit Application Fax-e13-7eaoo21 <br /> Building Department <br /> Date T7 Received 5- Phone Contact for PennIttinj L 732 02-6224 _6_- 2107- 9 <br /> Owners Name p (Q G I1Q Owner Phone Number L��7-V f7'241 R <br /> Owners Address 9 L� 4ri i �f I Owner Phone Number <br /> Fee Simple Titleholder Name NSA Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS S S l l�[� n) •I St <br /> , e , r c�E. :52­// LOT# <br /> SUBDIVISION RCtPiCil PARCEL ID# Sd`LG�+100 O'U 00 600 0 aim <br /> (ORTARIED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER d 4r pL' S <br /> TYPE OF CONSTRUCTION �fQ^ SBLOCK 1 Q FRAME LJ STEEL = <br /> DESCRIPTION OF WORK- y t) t�`kCA ; V IOtS GiS !3(L CJ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> ]BUILDING $ 7y/ aQ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ 6 Cr�3.a5' AMP SERVICE ® PR86RE83 ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I s/ <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �S`0 omen um oar <br /> BUILDER COMPANY <br /> SIGNATURE T'- REGtsrEREo Y I N FEE curezEt YIN <br /> Address <br /> License#I CV6Y70 <br /> ELECTRICIAN ��;3f Z S' COMPANY Momentum Solar <br /> SIGNATURE r REGISTERED Y/N FEECURREA I Y/N <br /> Address 48.Park ins WvZ_S i a 100 Orlando FL License# 00 a 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn YIN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREn I YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N <br /> Address Urenso# <br /> aIII � lI1fI � fI1 � � �IfIfIA11 � fIer � 111 � IfIlIr111II1II111IlIfII � �� � � �ll � flfl (Itl � lfi <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plana;(1)set of Energy Forms;R-0 W Permit for new construction, <br /> Minimum tan(10)working days after submittal date.Required onske,Construction Plans,Stormwater Plana W/Sift Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.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, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must moot 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$2500,a Notice of Commencement Is required. QVC upgrades ovar$750D) <br /> Agent(forthe contractor)or Power of Attorney(for the owner)would be someone with notarized latter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Copy of contract required) <br /> Reroofsifshingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />