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I <br /> Ulty of Zephyrhills Permit Application Fax-813-780-0021 <br /> g Building Department <br /> - <br /> Date Received P156 UAUC�aiftk_(Voekc)r m, cv�n <br /> Phone Contact for Permitting <br /> 0 <br /> Owner's Name �n(�w �Qc 0 Iner Phone Number <br /> Owner's Address l �Mmpn 330 L Oler Phone Number <br /> Fee Simple Titleholder Name Ow er Phone Number <br /> Fee Simple Titleholder-Address <br /> JOB ADDRESS Q S 0SN LOT# <br /> SUBDIVISION Lai wemao PARCEL iD# 32_-?4-Z[-6160 O - nl�)q-n <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL 8 REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION V BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK qv -1 &IIIJ4 re siAin( q - t, <br /> BUILDING SIZE F �` <br /> SQ FOOTAGE HEIGHT F <br /> . . . . . . . . . . . . <br /> =BUILDING $ u% VALUATION OF TOTAL CON TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> ' R S 3 <br /> U <br /> =MECHANICAL VALUATION OF MECHANICA INSTALLATION -7,T/ <br /> boo I <br /> =GAS ROOFING SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - - - <br /> cory fr� <br /> REGISTERED 11Y/ N I FEft CURREN Y I N <br /> BUILDER COMPANY <br /> SIGNATURE <br /> Address !.),t 1- —7 a M Da License# a co yf6W <br /> ELECTRICIAN COMPANY . S 4rA!q E/eC:bq C <br /> SIGNATURE REGISTERED FEE-CORREN Y-7 N <br /> Address Iblas PU-U T"VAO-rd Zaa-1 License# 1 C)03:1 IS- <br /> PLUMBER COMPANY <br /> )7- 1 -, a a h <br /> SIGNATURE 0REGISTERED ' 'FEE CLIRR�Iff, Y/N I <br /> Address b1.61 73w RZ11 T Z License# <br /> IC EC 69 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -f L FEE CURREN _tLy/N_J <br /> Address 5-q 0 7 hc,,n}per' 0 e W License# I CA C 6 33 �� -5 <br /> OTHER COMPANY M "C__R JA pmo <br /> SIGNATURE REGISTERED Y/ Iq FEE CURREN 'L_y_LN__�J <br /> Address Niiiu Pal 6&,1, 3 License# 2-52 3 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R O-W Permit for new construction, <br /> truction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large - jects <br /> CID I M Minimum ten(10)working days after submittal date. Required onsite,Cort <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 onsite,Con truction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All c mmercial 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. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with not rized 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/Footag <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />