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513-780-O020 <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bu,fo,ng Department <br /> Date Received <br /> -II`T-T� ! Phone Contact for permift* -1913 5 YW"7 <br /> Owners Name Z� -I-- <br /> Owner Phone Number <br /> Owners Address <br /> 0 <br /> Owner Phone Number <br /> Fee Bill-Pie 71TIVITIrldertime Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -S <br /> LOT 0 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED El FRCAllMOPERTY TAX Notice) <br /> WORK PROPOSED NEW CONSTR ADWALT SIGN W INSTALL L_J REPAIR DEMOLISH <br /> PROPOSED USE = SFR <br /> ;2!�L COMM r OTHER L <br /> TYPE OF CONSTRUCTION = BLOCK 0FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE E== SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . <br /> UILOING Is Z-' VALUATION OF TOTAL CONSTRUCTION . . . . . . . . . . . <br /> =ELECTRICAL AMP SERVICE O PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = RoorlNG 0SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY F <br /> SIGNATURE REGISTEqFr) I YIN I FEE G,RRSN I YIN <br /> Address License a <br /> ELECTRICIAN COMPANY F� - 11 <br /> SIGNATURE REGISTERED I Y1 NI -EE CUARr-h I YIN <br /> AddressCA S1 AmteiScn EcJ,SrTi4 -fc Dc-j License S; <br /> 7 <br /> PLUMBER COMPANY <br /> SIGNATURE L f REGISTERED I Y,1 N -EE r�RRZEN YIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE—Ck RR-_, Y/N <br /> Address License Of <br /> OTHER COMPANY F <br /> SIGNATURE REGISTERED Y! N FEE Ct,RREI <br /> Address License# F­ <br /> RESIDENTIAL At:acr(2)Plot Plans;(2)sets of Swiding Plans;(1)set of Energy Forms;R-O-W Permit for now censyruction. <br /> Minimum ter(10)working days sitar Submittal date. Required onsite.Construction Plans,Stormweler Plans wl Silt Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Pe!m,t for subdiviti,onsharge projects <br /> COMMERCIAL Allact,(21 complete sets of Bu4ding Plans plus a Life Safety Page:(1)set of Fnergy forms,R-O-W Permit for new construction <br /> MiMMURI,ten(10)WOrK.ng days after suortrital date. Requited onsile.Consliucloon Mans.Slornwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&I dumpster.Six Work Permit tot ali new projects.AN comrnerc:al requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> —'PROPERTY SURVEY required for all NEW construction <br /> 011tio.:; <br /> Fill out application corro-e!e'Y <br /> owner&Contractor s,qn pack of application.notanzea <br /> If over$250D.a Notice of Commencement is required. (AIC upgrades over 57500) <br /> Agent(for the contractor)or Power of Attorney tfor the owner,would be someone with notarized lette,from owier authorMnq same <br /> OVER THE COUNTER PERMITTING ;copy of nontraci required) <br /> Refoofs i(shingles Spwr-m Sprvtcp upgrades A/C Fences,(P o7Swvey1Foota9e) <br /> Driveways-Not over Ccunurr.f on puvj:c roadways.reeds ROW <br />