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813-7aa­o020 City of Zephyrhills Permit Application Fax-813480-0021 <br /> Building Department <br /> Date Received Phone Contact for Permilding I(S <br /> Owners Name �ryOwner Phone Number <br /> [VQLL_ j3)2q L4 <br /> owniees Address 136X_F'Q PiIIUM �p Owner Phone Number <br /> Fee Simple'rdieholder Name Owner Phone blumber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5019 POKER _00AIL) Pt -1,16PHYPURA-� LOT# <br /> SUBDIVISION F_ PARCELID#1'3;-'-2S-2-1- 0100 -0170,0 - 00,SD <br /> (..N.FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR R ADDIALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR Q 'COMM = OTHER <br /> TYPE OF CON=ucnor4 = BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK rg<rp u-nue N of- golo r-H o wra P tj 6a)vo LvqiE7 S uqc <br /> BUILDING SIZE SO FOOTAGE "EIGHT <br /> BUILDING S <br /> 003 VALUATION OF TOTAL CONSTRUCTION <br /> rl_�ELEGTRICAL I's 12,012 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> 5 <br /> r7MECHANICAL $ <br /> VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FLOOD ZONE AREA AYES NO <br /> Fl NISHED FLOOR ELEVATIONS <br /> - - - - . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY IVE 1jQ\14 '�O LA k bCJ1QAPrA9. <br /> SIGNATURE REGISTERED ICY/ N FEECURRE!, <br /> ':[< At IAI f1l)AM&IIAA <br /> b2m# ? NLAP 1�I 1_)01 N J <br /> LAddess License# Qlo-7 l b <br /> ELECTRICIAN COMPANY =VVL3LIC <br /> SIGNATURE REGISTERED Y/ N CURRE% Y/N <br /> I <br /> Add. License#1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN IFFECURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEEcuRRa I Y/N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/N I FEE CURREN L_XZN J <br /> Address 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 w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge,projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now 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 /> Directions <br /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power ofAttomey(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 Fencei(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />