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40F -0020 Fax-813-780-0021 <br /> 813-780 City Of Zephyrhills Permit Application <br /> Building Department <br /> Data Received Phone Contact for Permitting ( 913) <br /> -r-r-r-r-lr-r-rT- <br /> Ownees Maine, Owner Phone Number <br /> Owner's Address :3 7,5 SO &AisAk Owner Phone Number <br /> Fee Simple Titleholder Name I I owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION ir�t 741J4 PARCELID#13# R57 100060 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST,ff'ADO/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0. COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPT.ON OF WORK Wes ,91-0 i7*m-1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . <br /> UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESSENERGY Q W.R.E.C. <br /> =11UMB G 1$ <br /> UM r!P�M�ECHBANICAL I$ a,?,J 5,-!W-----'I VALUATION OF MECHANICAL INSTALLATION <br /> =o.As Q ROOFING SPECIALTY = OTHER <br /> FINISHED i-LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 4.14 . . . <br /> BUILDER COMPANY <br /> SIGNATUR- REGISTERED I Y1 N FEE CURREK <br /> Address License#r <br /> ELECTRICIAN COMPANY . = I <br /> SIGNATURE REGISTERED I YIN FEE CURREI, <br /> Addrvas License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, L_XLN_j <br /> Addre-?.,s License#F <br /> Y VL)91e-—Mlt* <br /> REGISTERED I YIN FEE CURRE?, I YIN <br /> MECHANICAL COMPANY <br /> SIGNATUR- <br /> Address 7 707�;-o )U License#I dhal"o <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y1 N FEE CURREIN <br /> Address License#F— <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,Stomirwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life sajatY page;(1)set of Energy Forms.R-0-W Permit for now construction. <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facililtiiiis&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERPTIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> Fill ou.application completely. <br /> Owner <br /> &Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(far the contractor)or Power. Attorney <br /> of Alto-rn (for the Owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING. "('copy of'80. <br /> Reroofs if mingles Sewers,,:,.,,- Service Upgrades.A/C Fences(Plot/Surveyll'ootage)l <br /> Driver.,ays- <br /> Not over Counter if on public roAdways..raeds ROW <br />