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8113.760.0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received one Contact for Permitting IBM , E77 - 0 <br /> Owners Name BERMY DIAZ Owner Phone Number o�b <br /> Owners Address Owner Phone Number r <br /> Fee Simple Titleholder Name JBERMYDIAZ Owner Phone Number <br /> Fee Simple Titleholder_4& <br /> LOT# <br /> SUBDIVISION IZEPHYR PARC 100]13-26-21-0070-12200-09" ZJ-Y''-. <br /> (OBTAINED FROM PROPERW TAX NOTICE) CD 2-V <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH (5 kwx <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR E] COMM OTHER <br /> TYPE OF CONSTRUCTION Eg] BLOCK E] FRAME STEEL <br /> DESCRIPTION OF WORK OXITI-Voc r- Zve-1v <br /> BUILDING SIZE 1 2562 SQ FOOTAGE2898 HEIGHT 1 STORY <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> E:�ELECTRICAL AMP SERVICE FOR PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING IS TU12, 1201 <br /> [:EI-MECHANICAL 1$/Q,70 0, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING E:] SPECIALTY = OTHER eww?,q; CA- <br /> ISHED FLOOR ELEVATION$ An 7/ FLOODZONEAREA =YES L-ZI-NO. t,-, , <br /> fi�/o <br /> BUILDER COMPANY FV�iNTRA CONS-fRUCTION, INC. 1Yr�Pv <br /> I <br /> SIGNATURE REGISTERED I YIN FEECURREN I Y/ <br /> \ l <br /> Address P.O.130 LAND a LAK � Lic e nse# <br /> t;TCel 1�.s5 09841 �{ <br /> ELE COMPANY-�J 16 U-ef. <br /> REGISTEREEW YIN_ FE-E ctriRFIN YIN <br /> Address License" I Eca&)?,Z-.z <br /> PLUMBER COMPANY f Y-A 67-re&V 8,A)r, <br /> SIGNATURE REGISTERED I YIN FEE CLRRFI- <br /> Address -1 tise#[TF�C <br /> OMPANY 00 t 0 M a k�.,131,e, 1)A W-+ <br /> MECHANICAL -Z-�c <br /> SIGNATURE I REGISTERED I YIN FEJECURREN YIN <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED Yf N I FEECUPMEN EY�—N <br /> Address License* <br /> RESIDENTIAL Attach(2)Plot Plans.(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Pennit for new construction. <br /> Minimum ten(10)worldog days after submittal date- Required onsite.Construction Plans,Stormwater Plans vil Silt Fence installed. <br /> Sanitary Facilities&1 dumpster,Site Work Pennidlorsubdivisionsfiatge 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.Required onsite.Construction Plans,Stonnvmter Plans vil Silt Fence installed, <br /> Sanitary Facilities&1 clumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction- <br /> t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . <br /> Directions;a <br /> Fill out application completely. <br /> Owner&Contractor sign back of application.notarized <br /> If over$2500,a Notice of Commencement is repaired. (AfC upgrades over$750a) <br /> Agent(for the contractor)or Power of Attorney(for the m-miII)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reracts if shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />