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uity of Zephyrhills Pert I ni;t, Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ask*eCAUa)6(%k_ff')CA4,0rfW, corn <br /> r_U <br /> Owner's Name nr Owner Phone Number, ct� <br /> Owner's Address Owner Phone Number <br /> -Fee Simple Titleholder Name :sn Mz Owner Phone Number <br /> Fee Simple Titleholder Address <br /> V-avhck PJ cl r-o ?oohu&(Us, R_ 3_3:�V LOT# <br /> JOB ADDRESS <br /> SUBDIVISION F�% luex-aao PARCEL ID#[S2-Z,57-2-t CAM <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Net,), �1MIP frIW1014 rfSIJqK,_L C:�_ In ecl An <br /> BUILDING SIZE F S* Q FOOTAGE HEIGHT �_`7 <br /> [BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 0 67 AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> Z�;T I Z,,�5 96 <br /> =MECHANICAL 1$ rr VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> L.lz l. lb 7 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> COMPANY Irk <br /> BUILDER --�? <br /> SIGNATURE REGISTERED Y/ N FEII CURRER LLLN_J <br /> Address 12 0me t [= 71)r-. License#dCab 3nk2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE-CORRE!, <br /> Address Ur License 1-1, Q(S3-4-1 <br /> PLUMBER COMPANY "Ur� A , ahkn-� P100�16 (z <br /> SIGNATURE REGISTERED Y/ N 'FEE CURRItN I YIN I <br /> Address 0, BnV JqZ13 T0140a --S361 Z License# IC F C 6 <br /> MECHANICAL COMPANY PJr0JPPS`1'Q-e_ A_(Ve 54��fm <br /> SIGNATURE REGISTERED -T/*N FEE CURREN _LL/N_J <br /> Address 5-q 0 7 7)0n)v r & We W I S-) License# I cv ,c 0,-3 3 tq� 5 <br /> OTHER COMPANY M MC-Dr-C,I a 20 6 <br /> SIGNATURE REGISTERED Yl N FEE CURREN LILN <br /> Address q 3 -sf V Na i pa f-i3 License# ar : 2 572 3? <br /> III I 'll 11.11ill 11ril .1111 I if I III III IIIIII III III ii <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,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects ; I <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,Construction Plans,Stormwater Plans w/Silt 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 /> 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(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner aut borizing.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 />