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8,13-780-0020 City of Zephyrhills Permit Application Fax-813-78G-Ml <br /> Building Department <br /> Date"Re—ceived itting Phone Contact for Permi <br /> Owners Wine cw-retWn- owner Phone Number Q- <br /> ( <br /> Owmes Address 7 53 l P gAy Mapi&AW-y� owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7'63(p KQV MarieftiD LOT# <br /> 134 <br /> SUBDIVISION pARcELIDorZ) -�a5-QJ-01 so-coo 00-3150 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE!r ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> DF.SCRIP'T.ON OF WORK 1 AIC CharariOLIct i COMPQ0fat 35�Okl P <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .=IBUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =FLUMBING $ <br /> CEI'MECHANICAL IS q qq6 VALUATION OF MECHANICAL INSTALLATION <br /> GE� <br /> ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE' REGISTERED I Y/ N FEE CURRa\ <br /> Address I License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN I Y/N I <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License <br /> MECHANICAL COMPANY <br /> SIGNAL OF= REGISTERED Y/ N FEEtURREN I Y/N I <br /> Address F1441-All-Al k(I ZN116 —6035�1 License#LfflQQ4-N'4',y <br /> OTHER COMPANY E: <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN U/N <br /> Addreis' License# <br /> RESIDENT;AL 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,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans Plus a Lift Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimumten(10)worldng days after Submittal date. Required onsiter,Construction Plans,Stormwater Plans W1 Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet oompltance <br /> SIGN PER1lvIrr Attach(2)sets of Engineered Plans, <br /> PROPERTY SURVEY required for all NEW construction. <br /> Direct <br /> Fill ou:application completely. <br /> Owner&Contractor sign 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 Pow of Attorney(for the Omer)would be someone with notarized letter from owner'authorizing same <br /> OVER THE COUNTER PERMITTING (COPY of contract required) <br /> Reroofs if s:dnqles sewers Service Upgrades A/C Fences(Plot/survey/Footage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />