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E13.7e1YDD20 City of Zephyrhills Permit Application Fax-313.73D.OD21 <br /> ' Building Department <br /> •Dat%Recoived "'3 -l � , _� 6 !r/�/ <br /> Phone Contact for Permitting }( <br /> Ovrneh Nerilo VY%�r,�i/r/, ��,,r� �(�y�yy p Ownoi Phone Number -77Q�7�.i7 <br /> Owrior's Address E/<J�i✓r% pr vf,-,Apu'dr�"�"/"cur,r�'�' Owner Phono Number <br /> Fee Simple Titleholder Name r�/l� F'u'r Vl-1 Wl�l ' Owner.Phone Number <br /> �I <br /> Fee Simple nileholderAdddrrosss,},� "�i,�"n�-(I �/�-���f"�"Q"�}� <br /> JOB ADDRESS 'g1411V /`1/•fTlv�W """' f nn ✓ram `1 <br /> 11 <br /> ,T11 <br /> SUBDIVISION th <br /> PARCELIOA t7 v ��°'f <br /> (OBTAINED FROM PROPERTY TAIL NOTICE) <br /> WORK PROPOSED e NEW CONSTRR ADDIALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK G nn Q FRAMME = STEEL = <br /> DESCRIPTION OF WORKMM Pgovne, & <br /> BUILOINGSRE IO blv%1" SO FOOTAGE HEIGHT <br /> ®BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ CJ lP AMP SERVr��I E i ROGRES FSIERGY <br /> ®PLUMBING �� ` <br /> =MECHANICAL VALUATION 0 1ECHANICAL INSTALLATION ' © � frt1f' <br /> =GAS = ROOFING = SPECIALTY= OTHER 11111� `� T 1U <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA M xH=YES <br /> NO ® "J <br /> BUILDER 3 �'COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address Q V1 Liicceenrseeq <br /> ELECTRICIAN ` COMPANY ,3 r1R49T IN 1711OIJ� CO <br /> SIGNATURE ! r REGISTERED Sic.N FEE DURRREA Y/N w <br /> Address 6 SIL IM _ �- 1y d License 0 G C e I M O� <br /> r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y!N FEE CURREN 'YIN <br /> Address I License a <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREh Y!N <br /> Address License C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURRr7. I Y I N <br /> Address License 0 <br /> IIIIIIIIIIIIIIIIItlllf'I IIltllllllltllllllllllltlllll111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Budding Plans;(1)set of Energy Forms;R-O•W Permit for new construction, <br /> Minimum ten(10)vmrldng days after submittal date.Required onsile,Construction Plans,Slammaler Plans w!Sit Fence installed, <br /> Sanitary FadEDas&1 dumpster,Site Work Permit for subdivisignsllarge projects <br /> OMMF1iCIAL 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-CIO)working days after submitted date.Required onsite,Construction Plans,Stomlwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Wares Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY�rsqulred for all NEW construction. <br /> .&.4 --r-it. .... . ..I .....Lit 1 1 1' `1` <br /> OlrOCDame: <br /> FBI out application completely. <br /> Owner 3 Contractor sign back of application,notarized <br /> U over$2500,a Notice of Commencement is required. (AtC upgrades over$7590) <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 contrdcd required) <br /> Remofs if shingles Sewers Service Upgrades A!C Fences(PloYSunmy/Foolage) <br /> Driveways-Not over Counter 6 on public roadways-needs ROW <br />