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813-78M020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting L <br /> WSS619969111, 2999-6 a a %T��T 4V-3&�51 <br /> L­7 /e,V_ Owner Phone Number Owner Name . ffle-f-r_ <br /> Owner's Addressl 6-g 5-o 10- :!54—. orh'I Is owner Phone Number <br /> Fee Simple Titleholder Name I - I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS { rbls3LIOT# <br /> SUBDIVISION PARCEL 113#5 -20-:)-t-cola- i),&x- <br /> V I —T (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I <br /> WORK PROPOSED NEW CONSTRR R ADD/ALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK &r-k 14 b OW6 <br /> BUILDING SIZE F ISQ FOOTAGE I HEIGHT <br /> 'BUILDING r 1,5 VALUATION OF TOTAL CONSTRUCTION . <br /> =ELECTRICAL Is AMP SERVICE 0 'PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING Is <br /> =MECHANICAL Is VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 4#0 R 9 f 0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y 1,N <br /> fU'lL4-1 XX%A.C&V('1f_ <br /> Address al�4.M License# 16 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN YIN <br /> Address License# <br /> PLUMBER i COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN LILN_j <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN Y!N <br /> Address I License# I I <br /> 21113111111FINN X.R.2 5.ff V S.S.2 X,S­SSS-,SS.2A*Sill N.X2 NWUS 8 9 WX NWZ 2 S-a.S X-C 2 SM X gal <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 /> San"Facilities&1 dumpster:Site Work Permit for subdivislonsliarge 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)woridng days after submittal date.Required onsite.Construction Plans,Stormwater Plans wl 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 /> 01 <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required.(AfC 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 /> OVERTHE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlotiSurvay/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />