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61a-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received --L�k2cq-:5 <br /> aContacItfor loormitVing <br /> Owners Nam* Ai,,-kv Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Nime, pho.-M—um— <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS # 5-\ ve c k=4 p-hQ 3� LOT# <br /> SUBDIVISION f t RARGFE-L M3411 <br /> 108TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT r---1 SIGN r7 r--1 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR F-1 COMM O OTHER I <br /> TYPE OF CONSTRUCTION BLOCK = FRAME STEEL <br /> 1L <br /> DESCRIPTION OF WORK .ems <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> so . . . . . . . . . . . . . . <br /> �7B ILOING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 6 AMP SERMCE PROGRESS ENERGY u 'ArR.E.C. <br /> UrPLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFINGt. spEr=TY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE t REGISTERED I YIN FEE CURREI, LILN J <br /> Address License 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE "k:Grz5TEft0 YiN FEE CURREI, I YIN I <br /> Address Licensed <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED N FEECURK1, UL—R-1 <br /> Address 1 071 Umnee 9 <br /> EH311"is 5-4 7U.1 <br /> MEC NATU=HANICAL COMPANY <br /> flzQ1*T&-;=9 I Y/N frtuUmTz LILIJ <br /> SIG <br /> Address I License ill <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y1 N —R—ECURR6,--T=Y/N <br /> Address F-F License It <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 ton(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 subdivistonsilarge projects <br /> COMMERCIAL Attach(2)complete Gets of Building Plans plus a Life Safety Pace:(1)act of Energy Forms.R-O-W Permit for nsw ennstniclinp, <br /> Mitilmuin ten(10)working days altar oubmiltal doto. Required o"llo,Conotruction Piano,Stormwater Piano w/Silt Fence Installed, <br /> Sanitary FacI111189&I durnpliter.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 s6n back of application,notarized <br /> lfovor$2500,alloticoofCommoncomantisrequirod. (A/C upgra4coovor$7600) <br /> Agent(for the cont or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> 1. <br /> Rowers If shingles S r re Service Upgrades A/C Fetwus(PIuVSu1vtry1Fuuia9t:) <br /> Driveways-Nol over Counter If on public roadways-needs ROW <br />