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813-78D-0020 City Of Zephyrhills Pdrmit Application Fa*813-780-W21 <br /> Building Department <br /> Date Received PhoneContactfor Permitting <br /> Owner's Nam I—v 16 a I owner"Phlone Numb" <br /> Owner's Address 01L <br /> Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 9Z�94 1!1AJ-;ae—& CAL LOT# <br /> SU13DWISION rL l vOb PARCEL 10# t O /40 WAW 1121-0 <br /> logrAiNED FROM PROPERTYTAX"Tr-,61 WORK PROPOSED NEW MUM ADWALT SIGN r__J DEMOLISHR INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Qf <br /> FRAME STEEL E:] I <br /> DESCRIPTION OF WORK 6, IN 0 L17A o3 <br /> BUILDING SIZE HEIGHT' <br /> . . . . . . . . . .=IBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> E�R IKE ICAL 1 ,57*9, 7_P�v VALUATION OF MECHANICAL INSTALLATION <br /> =0AS r7 ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address Ucense#F- <br /> ELECMCIAN COMPANY =_ <br /> SIGNATURE REGISTERED YIN FEECURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE GURREK L�N <br /> Address License#F <br /> MECHANICAL R COMPANY M0904 A/-e ORE <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_LLN_J <br /> Address Tv7&5] License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> -Address License#F_ <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans,(1)set of Energy Forms;R­O-W Permit for now construction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Pannit for subtfivisionsilarga 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. Rewwred onsite,Ccnswc*m Plans,Stontrwater Plans wl Silt Fence installed, <br /> Sanitary.Facilities&1,dumpslar.Site Work Permit for all row pm*&,All ounmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> . a ..il's il.- 2 a a . . . . . . . . . a . . . . . . . <br /> Direction,,.. <br /> Fill out application completely. <br /> Owner&Contractor sign.back of application,notafted <br /> lover 52500,zifttllce ofCornmencoment Is required. (AfC upgrades over$1500) <br /> Agent(for the-contractor)or Power of AWITISY(for the owner)would be someone with polarized[offer from owner authorizing same <br /> OVER THE COUNTER PERMITTING , (copy of contract required) <br /> Remolis it shingles sewers Sendoo Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs Row <br />