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413-780-0020 City of Zephyrhills,Nanit Application Fail-813.70Q0021 <br /> Building Department <br /> ` Date Received, t Phone:ContactforPennittin <br /> Owners Nanie "-t ^ ^ — Owner Phone Number <br /> Owner s Address c�+�V.W0 `' LT"keLoo " Owner Phone Number — <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee'Si mple Titleholder Addres§ — - - - - - <br /> JOB ADDRESS . �J L�. 1', Y 6 -.,, LOT 0 <br /> SUBDIVISION' <br /> (baTAINEd FROM PROPERTY TAX NOTICE) <br /> WORk PROPOSED e 4Ewc6NSTR ADD/ALT = SIGN Q Q DEMOLISH INSTALL 8 REPAIR <br /> PROPOSED USE = SFR p COMM Q OTHER <br /> TYPE OF:CONSTRUCT ION 0 BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE F SQ FOOTAGE C� HEIGHT I t ?Cl� •I <br /> BUILDING S <br /> 0 VALUATION,OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S. AMP SERVICE = PROGRESS ENERGY 0 W,R:E C: <br /> =PLUMBING $, <br /> =MECHANICAL S - VALUATION OF MECHANICAL INSTALLATION <br /> =GAS RDOFING, Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODZONE.AREA AYES -NO <br /> 16 <br /> BUILDER. v -_ }',= - - -' - - - -; - <br /> COMPANY O <br /> SIGNATURE R,. ISTERED /N FEE CU REK Y N" - <br /> Address License#Ern 3 _S`_q;L <br /> ELECTRICIAN / COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE gURREIY -YJ N_ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y7 N FEE CURREt I -Y/N . <br /> Andress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 YI-N FEECURREn <br /> .Address U: ense# <br /> OTHER COMPANY <br /> SIGNATURE' REGISTErED Y'/ N FEE CURREN I Y/N <br /> Address License,#. . . . . . ... . . . . <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Byilding-Plans;(1)set Of Energy Forms:R-0-W Pq"h for new construction, <br /> Minimum ten(10)ymNog days after submittal dale. Required onsite,Construction Plans,Storinwalei Rlan"s iv/Sill Fence'instailed, <br /> Sanitary Eadlities&1 dumpster,Site Work-Permit forsubdivisionsllarge,projects. <br /> cOMMERCIAL. Attach(2)complete sets 61 Building Plans plus a Life Safely.page;(1)set of Energy Forms.,R-O-W Permit for new construction. <br /> Minimum ten;(10)vioiking days after sub'nr1ital'd'ato. Required on'sile;Canitruction Plans;Slonnwaler Plaris-W/Silt F,enee Installed, <br /> Sanitary Facilities&-1 dumpster;Sile.Work Permit for all'new projects.All commercial requirements must meet compliance <br /> SIG_N PERMIT Attach(2)sels,of Engineered Plans. <br /> BROPERTYSURVEY'required for all NEW-consWclion. , <br /> Directions:: <br /> FIII out"applicaiion Cgmpietely. <br /> Owner&Contractor sign back•of"application;notarized <br /> if,over$2500,a Notiee of Commencement Is required. (AIC upgrades overS7500) <br /> Agent(forthe contractor)or Power of Attorney(for the owner)would lie someone'with'notarized letter from owner authoriAng same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofsif"shingles Sewers Service Upgrades A/C Fences(,IOYSurvey/Footage) <br /> Driveways-Not:Over Counter-if on public roadways..needs ROW <br />