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Authentisign ID:99695651.2384.4BB6•BBAF.FDFB53C5B4E5 <br /> t <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department a �j <br /> Date Received U�'� Phone Contact for.Permitting p — 'd I <br /> Owner's Name -vs Mo Gl� Owner Phone Number <br /> Owner's Address 1 _ ZAlff Owner Phone Number <br /> Fee Simple Titleholder Name .1 (j(.�) Owner Phone Number <br /> Fee Simple Titleholder Address �j'6fnt'_ Pt a'&ve <br /> JOB ADDRESS D y/ / LOT# /5{ /I-ro <br /> SUBDIVISION ( (� PARCEL ID# I�p(P��—6DID'C�67OD Q <br /> rv�; (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CON ADD/ALT Q SIGN Q Q DEMOLISH <br /> Fq <br /> REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BL,OCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK'/ UI/U' I Tl1O tIAfY <br /> BUILDING SIZE �'7 1�/X�G r SO FOOTAGE 7�O HEIGHT �O t <br /> 5 _ <br /> Ep J BUILDING IS jeo 60 VALUATION OF TOTAL CONSTRUCTION <br /> ` <br /> ]ELECTRICAL $ /6zo AMP SERVICE {�I PROGRESS ENERGY W.R.E.C. <br /> PLUMBING <br /> MECHANICAL $ O 6, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS n � FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ZI/acfl..' -rrt/� 91/LC�YI <br /> SIGNATURE L REGISTERED I YIN ECURRENQ YIN <br /> Address O License# <br /> ELECTRICIAN Aulhenfiwr COMPANY First C1asS Electric <br /> SIGNATURE REGISTERED I YIN FEECURREN Y/N <br /> Address 7141 bhKKY KUPIV ZEPHYRHILLS,FL 33540 License# I 'EC0002570 <br /> PLUMBER COMPANY Dennis Williams Plumbin <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I N <br /> Address 5108 17TH ST ZEPHYRHILLS,FL 33542 License#I CFC1425602 <br /> MECHANICAL COMPANY Bahrs Propane Gas&AC <br /> SIGNATURE REGISTERED I YIN FEE CURREN YIN <br /> Address 4441 Allen Rd.Zephyrhills FL 33541 License# F CAC043948 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y I N ' <br /> Address License# <br /> EEllI[lE.l=E-I11 till E1.!!!-Lti:Eliill1*1III-E.#IE121I.fl[.i tl.'111AX gas**NINEatstIR1:!!i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OW 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&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 for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements musl'meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directiorise <br /> FlII 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 Attomey(for 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 />