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e13-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 1 Building Department <br /> Date Received S _ O <br /> hh /inn Phone CorTpet for Pertnittln a <br /> Owners Name U V L D (�A{`L E �r1 Owner Phone Number <br /> Owners Address 3 gSSO CA MD'EN r-t I/�. Owner phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 389-SO CAH6,CAl AVE LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW C.ONSTR 8 ADD/ALT d SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q mot- `, <br /> DESCRIPTION OF WORK AISM TLO L , A GD FTO rP C06g!p <br /> BUILDING SIZE SO FOOTAGE HEIGHT pAN S�f <br /> BUILDING $/)`(,�12 J�� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $/ lU J ~r,[� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !/\ <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER OM ANY 1 vr_MT t A R bFVe7t6PlFR <br /> SIGNATURE REGISTERED /N I FEECURREn /N I - <br /> Address PA License# <br /> ELECTRICIAN /_ COMPANY = gl/ <br /> SIGNATURE /// rrr REGISTERED I Cfl N I FEE cuRREA /N <br /> Address d License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED - Y/ N I FEE CURRaA <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllIII let I III I III III it11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Starnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(far the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />