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PPP' <br /> 8,13-780-0023 City of Zephyrhills Permit Application Fax-813-78M21 <br /> Building Department <br /> date Received Phone Contact for Permitting <br /> 9 9 1 <br /> Owners Name Dre?e,':,j�jCOwrter Phone Number <br /> Owner's Address 15/ owner Ph..Number F <br /> Fee Simple Tiffettolder Name owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS W1 LOT 5/ / P I <br /> SUBDIVISION PARCEL!D#RDR-� I—4 — <br /> Enid (.lIIA.90 FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW C01% ADDIAL T SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SPR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = -77 <br /> DESCRIPILON OF WORK FCem—m m 0 7-EfeN <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =F'LUMBING 1$ <br /> C26CHANICAL 1$-13qo , VALUATION OF MECHANICAL INSTALLATION <br /> CU I <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> mo-164-41-11. <br /> BUILDER COMPANY <br /> SIGNATURA REGISTERED I YIN FEE GURRa <br /> Address I License <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRE!, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRM LtLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATUP1 REGISTERED I YIN I F2E CURREN I YIN <br /> Address 7—h/1/'5FL3;:Eq/ License# <br /> COMPANY <br /> OTHER REGISTERED I YIN FEE CURRFA LIL N <br /> SIGNATURE _j <br /> Address' License#F <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/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge 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 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .clft6 <br /> s: <br /> Fill our application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If aver MOO,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 authorizing same <br /> OVER THE COUNTER PERMITTING (copy Of contract required) <br /> Reroofs if$7%ingles Sewers , Service Upgrades A/C Fences(Plot/SurveyiFootage) <br /> Drivoways-Not over Counter if on public roadways..needs ROW <br />