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81Vf80-0020 City of Zephyrhills Permit Application Fax-813-78M21 <br /> Building Department <br /> Date Received TIT Phone contact for Permlttln 73. 02-6224 _ <br /> T"TT - - - - - -- <br /> Owner's Name ffy- UjCl. Owner Phone Number - <br /> Owner's Address 11 I Q. Owner Phone Number <br /> Fee Simple Titleholder Name NSA Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 1 Hi I L 3 5 11 1 LOT A <br /> SUBDMSION n r 1 1 U PARCEL ID# U- — — —V 1 36 <br /> (GBTAMED FRGM PROPERTYTAX NOTICE) <br /> WORK PROPOSED a NEW CONSrR e ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM L J OTHER : <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK r ���' ( LAXCaw n l(�r.J <br /> BUILDING SIZE I Sq FOOTAGE HEIGHT <br /> BUILDING a- AIL-151 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROG�jRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ e6t IjU <br /> =MECHANICAL ! $ VALUATION OF MECHANICAL INSTALLATION i_ n Lar) <br /> =GAS = ROOFING E] SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO (f J <br /> f< omen um oar <br /> BUILDER COMPANY <br /> SIGNATURE REOIsrEREnI YI N FEEcuRREn YIN <br /> Address / Licemell _ <br /> ELECTRICIAN 1 n� COMPANY Momentum Solar <br /> SIGNATURE REGISTERED 1. Y/N FEE CURREI, Y!N <br /> Address 1248 ParklVe-BA Suite 100 Orlando FL Licensee <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREh LXLN <br /> Address License g <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I N <br /> Address Ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED - Y!N FEE CURREN I YdN <br /> Address License tt <br /> rlrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrllrrrrrrrr <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onstle,Construction Plans,Stormwater Plans w!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 We Safety Page;(1)set of Energy Forms.R•O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans w/SIR Fence Installed, <br /> Sanitary Facilities&1 dumpster.Silo Work Permit for all new projects.All commercial requirements must meet compriance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY raquired 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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs R shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />