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813-780-0020 City d Zephyrhills Permit Applic6flon Fax-813-780-0021 <br /> Building Department <br /> Date Received Lh!!qe Contact for Permitting jj� 732 202-6224 <br /> -riF T I 1 5 ..... Ira- <br /> Owners Name Owner Number.. <br /> Owner's Addres..13�190 114h Nit, I owner Phone Number <br /> Fee Simple Titleholder Name NIA owner Phine Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1h AWQ:Z"-yhi11S. L35544 wr# <br /> SUBDIVISION P-ARC-P. 10#11'o-aC-W <br /> (ORTABIED FROM PROPERTY TAX M)TIM <br /> WORK PROPOSED NEw coNsm ADDIALT 52ff SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE =] SFR M COMM OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK E3 FRAME STEEL <br /> DESCRIPTION OF WORK rk �,-c CA TAO <br /> BUILDING SIZE SQFOOTAGEr HEIGHT <br /> . ... . . .. . . . . . . . . . . . . . . . . . .. .. .. . . . . . .. . . . . .BUILDING 14 Q 'Lill.151 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY r7 W.R.E.C. <br /> =PLUMBING 13 Cr) 1i <br /> =MECHANIM VALUATION OF MECHANICAL INSTALLATION <br /> Is Lan <br /> =am = ROOFING M SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY momentumsoar <br /> SIGNATURE REMSTERED 1. Y1 N FEECURRM <br /> Address A948Ark'inPRIydq--etL-jQQ rlando!711 Licomigio rKr- cT1c)5G I <br /> I ELECTRICIAN COMPANY =o�entu m Solar <br /> SIGNATURE REGISTERED Y/N FEECURM N <br /> - - BjZ Suite 100 Oda I ndo FL I UL <br /> Address C248 Park' U <br /> Ke Lic.... F:;5y5og>-6a i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREK 1. Y/N <br /> Address Ucense# <br /> MECHANICAL COMPANY F <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License III F- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/IN FEE CURREA <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans:(2)eels of Building Plant;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ton(10)working days after submittal dots.Required onsite,Construction Plans,Stonwater Plans w/SIR Fence Installed, <br /> Sanitary Facilities&1 dumpstat;Site Work Permit for subdivisionallarits 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 now construction. <br /> Minimum ten(10)working days after submittal date.Required onske,Construction Plans,Stormwater Plans wl Sit Fence Installed, <br /> Sanitary Facilities&I dumpstor.Site Work Permit for all now projects.Ali commercial requirements must meet comprrance <br /> SIGN PERMIT Attach(2)sels,of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> .. .... . .. .. ..... .. ..... .. . . . . . ... . . ... . . . . ... . . .. ... . . .. <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> 9 over$2500,a ticalce of Commencement to required. (AIC upgrades over$7500) <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 /> RIND018 N shingles Sewom Service Upgrades A(C Fences(PlatSurveffootage) <br /> Drivoways-Not over Counter if on public roadways-needs ROW <br />