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813-780A020 City of Zephyrhills Permit Application Fax-813-78D-Mi <br /> Building Department <br /> Date Recei,#Vd Phone Contact for POWITIMIng 1( 9'11) -'7t?2- <br /> . -I -n <br /> Owner's Namelf— Afs/1,5 Z_7-2) Owner Phone web." — "'7 <br /> Ownees Address 10-01 19M#4r�rke6 P10&A 5W Owner Phone Number <br /> Fee Simple rMeholder Name f Owner Phone Number F_ <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS <br /> ±r,qreeAJ V,,i&,v—De -* _�3 LOT# <br /> SUBDWION r:18riarp PARCELID#rtPA_ <br /> U zi� (OBTAINED FROM PROFERTYTAX NOTICE) <br /> WORK PROPOSED NEW C(INSTR�r=ALT SIGN DEMOLISH <br /> R INSTALL MR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIFGON OF WORK !9249d <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> "BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =rWMBING Is <br /> M<CHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . .. . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE 1 REGISTERED I Y/N FEE CURREK LILN J <br /> Address F_ I license# <br /> CTRICIAN COMPANY = <br /> SIELEGNATURE REGISTERED I YIN FEE CURRM <br /> Address F license# <br /> PMBER COMPANY <br /> SIG LUNATURE REGISTERED I YfN FEE CURREN Ly t N <br /> Address UCA.#F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRM I YIN <br /> Address Z-HY License#10 6 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURRa I Y/N I <br /> Address 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 /> MinuTIUM ton(10)wwft days after Submittal date. Required onsite,Construction Mans,Stormwater Plans w/Sfft Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete soft of Building Plans plus a Life Safety Page,(1)am of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wOrldnil days after WWMW data. Rewired onsite,Construction Plane,Sto=water Plane w/SRI:Fence Installed, <br /> Sandary Facilities&I dumpster.Site Work Parrind for all now 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 /> . . . . . . . . . . . . . .- - - - - - - - - - - - - <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N over WM,a Nafice of Cornmencenumt is required. (A/C upgrades over$7500) <br /> Agent(for the contactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -.,­(copy.ofcontractrequired) <br /> Rercoft if shingles Se"TS.: .,Service Upgrades A/C Fences(Plot/Survey/Footsge) <br /> Driveway" .6' <br /> otwerCckint6f,if.'ciiOublib.6 ft adwa-ys.z'poe "-ROW <br />