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B13-78MO20 City of Zephyrhills Permit Application Fax 813-7ti0-0021 <br /> Building Department <br /> DateReceivad Phone Contact forPermp., 46 ' - <br /> aaaaa;aa aria a <br /> OwnoYsNamD pt't-at <br /> �` � � �P'f,�.tisizL" >Vi_� Owner Phone Number r' 0 SZ �r77 y �l� <br /> Owne>•e Address ��t (_•i;C-��try `.^�+�'r S 2 l� Owner Phone Number <br /> Fee Simpla Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address t <br /> JOB ADDRESS <br /> SUBDIVISION PARCEL ID# —b(o—OC 00 <br /> (OBTAINED FROM PROPERTY TAX KGVCEI <br /> WORK PROPOSED NUVCON MR ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR © COMM Q OTHER <br /> TYPE OF CONSTRUCTION M BLOM E] FRAME C] srm Q/' C /�� <br /> DESCRIPTION OF WORK 1�7 1 Cq.7 1t l s!6 J r ` l0 n S <br /> BUILDING SIZE S4 FOOTAGE= HEIGHT <br /> BUILDING S VALLIATIONOFTOTALCONSTRUCTION <br /> =ELECTRICAL $ AIVIPSERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ ob c GNA r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ! /�/� 0 AV=GAS Q ROOFING Q SPECIALTY = OTHER L'-'jVn`� �, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO W' <br /> lap <br /> BUILDER COMPANY <br /> SIGNATURE -om:FAm I YIN FEECURREN IYiN f� <br /> Address �4 1r). 5 6 Ucense# CT� I 7;773 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I YIN FEECURREN I YIN <br /> Address Liconso# <br /> PLUMBER COMPANY <br /> SIGNATURE REGSTERED I YIN I FEEtustrum YIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE RMISTIERED I YIN FEECURREN I YIN <br /> Address License 0 <br /> OTHER rOMPANY <br /> SIGNATURE REGISTERED Y i N FEECURREN Y/N <br /> Address 7, License# <br /> aaaatataaa gall!analaatttaalaaaaa�. aiWi'it:a:aaart■aaaa`aat!lanaalalaaitlaaal <br /> RESIDENTIAL AOarfi(2)Prot Plans;(2)sets of Building Plans.(1)s0 Cf•Fserpy Forms;R-O W Permit fornew,construction, <br /> Minimum ton(10)wor ft days after sobmiltal dale:ftequlydtfcnsRe,Construction Plans,Starmwater Plans W Si t fanco,Installed, <br /> Sankary Facilities&1 dumpster•,Site Work Pemrll forsubdivislonsliargs projects <br /> COMMERCIAL Attach(2)complete sets of Bultdtng Plans plus a life Safety Page;(1)set of Energy Foram R-OW Permit for new construction. <br /> Mnlmum ten(10)woddrig days aftersubmittel date.Required onslte,Construction Plans,Stormwater Plans vd Stit Fevre Installed, <br /> Sanitary Faclllites&1 dumpster.Site Work Permit for all new projects.Ali commercial ragWremants must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "PROPERTY SURVEY regWred for all NEW construction. <br /> Fill out application completely. <br /> Owner&ContraetorsIgn bade of application,notarized <br /> If over$2500,a Notice of Commencement Is required.(NC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Altomay,(tor the owner)would ba someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copyot contract required) <br /> Rewafstfshingles Sewers Son4ce Upgrades AiC Fences(Ptot/SurvaylFoetage) <br /> Driveways-Not over Counter If an public roadways-needs ROW <br />