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813-780-0020 City of Zephyrhills Permit Applicatibn Fax-813-780-0021 <br /> Building Department <br /> AA <br /> Date Received Phone Contact for Permitting Fga)3 ? 2LO9 q2OE <br /> Owner's Name Heabe top # I _771A <br /> _0 ke Owner Phone Number (0803 <br /> Owner's Addressl,33A43, 2ealai_* Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 13 11-34 3 Veafilze_ Row L= LOT 0 <br /> SUBDIVISION FW_��U4 PARCEL Ll 15-2to-2 1- 0216-0=-02701 <br /> okmqe_S (OBTAINED FROM PROPERTY TAX,NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN Q DEMOLISH <br /> EA INSTALL 8 REPAIR <br /> PROPOSED USE. SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK FLUCA a I I ,(0 1 L F a 6 vilm Oulk <br /> BUILDING SIZE F ISQ FOOTAGE a HEIGHT, <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> E216ILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 6 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address po "ICIA75 59,73 oiztpwcjt�� FL License# Fc_�_Z_ I's 6 <br /> L/ 92-'R 7`3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh L_)L/N <br /> Address I License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN <br /> Address F License <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE k REGISTERED Y/ N FEE CURREN <br /> Address F License# <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/Silt Fence installed, <br /> Sanitary Facilities&A dumpster:-Site Work Permit for subdi,4§ions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms; <br /> *R-O-W Permit for new construction, <br /> Mininnum.ten(10)working days after submittal date. Required o on <br /> nsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary,Facilities&,1 dumpster.Site Work Permit for-all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineeted Plans. <br /> `PROPERTY SURVEY required for all NEW construction. <br /> .11.4 A 4.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Directions; <br /> Fill out application completely, <br /> Owner&Contractorr-sigh 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(if Attorney(for the owner)would be someone with no,tarized'Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contractrequired) <br /> Reroo(s it shingles Sewers Servlce:0pgr6 dps A/C Fence s.(Plot/SurveylFootage) <br /> Driveways-Nat over Counter ir.o n public roadways..nie RQYV <br />