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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 5-11-19 Phone Contact for Permitting 1( gl-1) <br /> - <br /> Ownees Name A�J owner Phone Number <br /> Owners Address 1 Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 13 71W &ppekW LOT# <br /> SUBDIVISION PARCEL to# c76 v 102V <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL E511"REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF:CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK czcm <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING <br /> . . . . . . W oft. . . . . . . . . . .VALUATION"O"F'TOTAL'CONSTRUCTION <br /> QQ C7 1 <br /> =ELECTRICAL 1$ 2 �GY <br /> _'000,ra AMP SERVICE PROGRESSENE W.R.E.C. <br /> =F'LUMBING <br /> —1 1$.Iaoo co <br /> =MECHANICAL IS so coed —1 VALUATION OF MECHANICAL INSTALLATION <br /> r7 ROOFING Q SPECIALTY = OTHER <br /> FINISHED PLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . 1.4 ..4 <br /> BUILDER COMPANY Eg'�'Z <br /> SIGNATURd REGISTERED Y/ N FEE CURREK LILN J <br /> Address I License# <br /> ['EUCTWC—F�R-4, t COMPANY �w� /---, CSGJ 1 <br /> SIGNATURE_r/7"U. a REGISTERED Y/ N FEE CURREN I YfN <br /> Address .4 License# <br /> PLUMBER COMPANY IONIA <br /> SIGNATURE REGISTERED Y/ N FEE CURREt I Y/N <br /> Address _nlf XvD --'-#1 95 K <br /> License# I C_Fe TV-9-1 9-7 7 _J <br /> ,MECHANIC-W:*-: COMPANY Z42,e3/&r <br /> i.SIGNATURE,J 2— REGISTERED I Y/ N FELFCURREK I YIN <br /> Address I I License#ICA egg <br /> OTHER COMPANY E <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK LYLN_j <br /> Address License <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms:R-O-W Permit for new Construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster.$Re Work Permit for subdivisionstlarge 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,Stortirwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I clumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERlvIrr Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW Construction. <br /> . . . . . . . . . . . . . . . ... . . sam — Halisawasung . . . . . . . . . . . . . . . . . . . . <br /> Dk.=6._ <br /> Fill otr application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over WSOO,a Notice of Commencement is required. (AtC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney-(for the-64i.br)wouldbe someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy)of'cobtract 11 iiiiaoi <br /> Reroofs if kiingles Sewers,-­.� Service Upgradeiiwc Fences(piot/surveyiFootage) <br /> Driveways-Not over Coltinter if on pi blic fbadyqpYs..needs ROW <br />