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813-7801-0020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> , � :Z e>3-s In. <br /> Owner's -)v cLt- K-�-L<?,� <br /> Name Moitr6•,LIL J Owner Phone Number L <br /> Owner's'Addressi/4 11*f�wner Ph.Number <br /> Fee Simple Titleholder Name Omer Phone Number <br /> Fee Simple rdlebolder Address <br /> JOB ADDRESS I 55C4 Ha1aC'h-'+t- � �qc LOT# <br /> SU13OMS14ON Wrner,31d ]';�71 PARCELIDN if 10040 00000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED DEMOLISH <br /> R NEW CONSTR ADDIALT SIGN INSTALL re REPAIR <br /> PROPOSED USE = SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK (0 FRAME STEEL <br /> DESCRIPTION OF WORK (*a <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> EBUI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> LDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> 02�.'ECHANICAL IS LA_' VALUATION OF MECHANICAL INSTALLATION <br /> =C.',AS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER I COMPANY I I <br /> SIGNATUR4 REGISTERED I Y/ N FEE CURREN LY/N <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER I COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE cuRREA I Y/N I <br /> Address I License# I I <br /> MECHANICAL COMPANY I&_hr6 f�om nc,Gas_4-!20_37nC4 <br /> SIGNATUR-9 REGISTERED I Y/ N FEE CURREN I YIN <br /> Address Ucense#,l Moloql3�0 <br /> OTHER I COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEECURREN I Y19— <br /> Address License# <br /> 111111111111111111111111111111111111.1111111111111111111111111111111 <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL Attach(2)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)working days after submittal date. Required onsirte.Construction Plans,Stormwater Plans w]Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERIVIrr Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> 44"Dir . . . . . . . . . ... . . . . . . . . I . . . . . . . . . . . . . . . . . . <br /> e.t,1 g: <br /> Fill ou,application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If Over$2500,a Notice of Commencement is required. (AfC upgrades over Sylilio) <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 (copy,of contract required) <br /> Reroofs if sningles Sewers Service Upgrades,1pg AIC Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter it on.public roadways..needs ROW <br />