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81.3-780-0020 City of Zephyrhills Permit Application Fax-813-780M21 <br /> Building Department <br /> Date Re6ived Phone Contact for Permitting <br /> -T-1171 a a . . . . . . . . . . <br /> Owner's Name d(?-ha-rlbonncaa,Laxqi bOn owner Phone Numb -7 S 0-3 <br /> ownees'Address J405 8+Uohn I?cl 0-haVlai Y Owner Ph..Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS �3R(p 2R Rm ora- LOT# <br /> SUBDIVISION I PARCELkaQ cEL o - ui-ol I-0,eltoo-owco-0046 <br /> (..MN..FROM PR.I.M TAX NOTICE) <br /> WORK PROPOSED e NEW C.NSTR K ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPT.ON OF WORK I 4(d.ch e-c)u-+-,I ftrnmner+, 8+on..1?ka <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> -ff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ]BUILDING is VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL i{S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =F-LUMBING 1$ <br /> 1'43Lh,—-t VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -6-644-46, <br /> BUILDER COMPANY <br /> SIGNATUR,- REGISTERED I YIN FEE CURREN I YIN <br /> Address I License# <br /> _� <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREK I YIN I <br /> Address I License <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, <br /> Address License#I <br /> MECHANICAL COMPANY &W2Lr-.Ga;5 s ftl� <br /> SIGNATUP REGISTERED I Y1 N FEE CURREI, L_XLN_j <br /> Address F-44Z-10 119 JQA 7-iiiiis -n License#Fe—C-7bq? R jq� gc <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED I Y/ N FEE CURRY, <br /> Addre s License# <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 wt Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans Plus a 1-116 Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after SUbMittel date. Required onSite,Construction Plans,Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site We*Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PEM-11T Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> 4 <br /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or PO"Wer Of Attorney(for the Omer)would be someone with notarized letter from owner authorlzing same <br /> OVER THE COUNTER PERMITIING (copy of contract required) <br /> Reroute if s.-,ijngles z..,,,.,Sewars-.,. -r service Upgrades'A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter,ff-on <br /> ROW .—Z <br /> %2 <br />