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813-78"020 City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received 69—2 7 Phone Contact for Permitti It I ng <br /> Owner's Name Ax'sylillION, VA"Ift (2E EA44A-.(-- Owner Phone Number 1/, -2 A611— <br /> V-�q Alf, A0,90 OPIHLIJ�"t Owner Phone Number 1,96— 3610— V&Y 11 Owner Address 91j]?F 9 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 335113 LOT# <br /> SUBDIVISION PARCEL IDN I <br /> (ORTMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL F--1 <br /> DESCRIPTION OF WORK =/,D,3U3/F <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 4,eo,.60 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL D AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING Is :1 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING M SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ---] FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . If 11 ; It I I ll� <br /> BUILDER COMPANY 1-114111 Cv,437ILVC TI0fJ, 37.4 <br /> SIGNATURE EN I Y REGISTERED I YIN FEE CURRIN <br /> Address 1$0C) "110911111 ceetv to. FLV%14T 335" License lticGIC /U0011,C) <br /> ELECTRICIAN COMPANY E fe <br /> SIGNATURE REGISTERED Yl N FEIE CURREN I YIN <br /> Address mg�bwp License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LiL-N-j <br /> Address License#r <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED YIN FEE CURREN LY/N T <br /> Address License III <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,Slormwater Plans w/S#1 Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge 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 ton(10)working days after submittal date.Required onsite,Construction Plans,Stormwaler Plans w!Sift Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new 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 /> Direction.: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It aver$2500,a Notice of Commencement is requlred. (AfC upgrades over$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone wM notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remolls If shingles Sewers Service Upgrades A/C Fences(Plol/Survay/Footaga) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />