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813-780-0020 <br /> City of Zephyrhills Permit Applic Fax-813- 80- 1 <br /> 'C <br /> Building <br /> % Department n <br /> t <br /> Date Received , Phone Contact for P, ltdinj <br /> I <br /> dwnor's Name -54PdOl7 A J4L-41— Owner <br /> wner AP hIi oIn eI Number <br /> umI bI er . . . <br /> Owner's Address lArjv/ rY 5 Zf.&A-46 <br /> J owner Phone Number <br /> Fee Simple Titleholder Namo Owner Phone Number <br /> Fee Simple Titleholder Address 7S'7r A- 00-;F.0 Ad APX- 390 01-16Wo OL .3 T-el <br /> JOB ADDRESS Sy 5 Z-41dolhll IM 33.5"Vo- LOT# <br /> SUBDIVISION PARCEL to#107- 7-6- IJ-0 000'- Or"- OP I <br /> (OBTAINSO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK L%/.111,1 I/ P"A"4' OV4-4 /-C#05- <br /> 'e BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> FXIELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> figiiii'll . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY F� s, k.ovp,c, -i r-,c I <br /> 161ONATURS I YIN FEE CURREN I YIN <br /> Lot- F-G N(,& -0--7 Address <br /> Llcense# I P(,/00V3/ <br /> ELECTRICIAN COMPANY C-3 mac' <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L_y <br /> L N_j <br /> Address License# F!�F-000370 <br /> PLUMBER COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEECURREN <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN I YIN <br /> Address License 4 <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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onalle,Construction Plans,Stormwater Plans wt Silt Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit 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 /> If over$2600,a Notice of Commencement Is required. (A/C upgrades ovor$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 (copy of contract required) <br /> Roroofs It shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter It on public roadways..neads ROW <br />