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813-78H020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Data Received ng Phono Contact far Permitti Zia <br /> ow L <br /> OW <br /> -S S9 ownoes Name 'Aacok-% likk Q nor Phone Number <br /> rya+ <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS FM 314 Q Slt I-Adf- Z 14 A WAS(-I Do LOT# <br /> SUBDIVISION F- PARCELID01 <br /> (OaTAINEDPROMPROPERTI(TAXINICTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM CJ OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL M <br /> DESCRIPTION OF WORK 9,e.- VOCA IN CtAo <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING kj JOS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I$ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS r7 ROOFING M SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY -x'VNQP!!x 14p�1 nra <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address I 'WILA G-alk (.\%VCI I License#I c-c(-os�I,* <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEFCURREK LY/N <br /> Address, License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRFK YIN <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN L-XL—Ni <br /> Address I License#F— <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address License <br /> rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms,,R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormweiar Plans w/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required onsitD,Construction Plans,Stermwater Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Pemut for all new projects.AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Never$2500,a Notice of Commencement Is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Rerooft if shingles Sawars Service Upgrades A/C Fences(Plat(Survey/Footage) <br /> Driveways-Not over Counter if an public roadways-needs ROW <br />