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813-780-W2O City of Zephyrhills Permit Application Fax-813-78G-W21 IV <br /> Building Department (AS97 7Y3 <br /> Date Received Phone Contact for Permitting -TAIV,# P 7J <br /> Owners <br /> a _-7 6p <br /> wrlers Name ir211,0Q— owner Phone Number <br /> 0 ar. 6& owner Phone Number <br /> wners Address <br /> Fee Simple Titleholder Nam Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Fb-U-2-(DFq-uf)der5 ;5+ Zhilb ft LOT# <br /> SUBDIVISION F- PARCEL 10111 1Cb-910—di-000-646106-DOW) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CDNSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK ChMacaa anU=L/5 ,5-toM <br /> BUILDING sizE F— SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . . . .-EEIUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =F LECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =F-LUMBING Is <br /> Cta,ECHANICAL 1sgqq5".bU-] VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING Q SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER i^ COMPANY <br /> SIGNATURA r REGISTERED I Y/ N FEE CURREII <br /> Address I License#F— 7 <br /> ELECTRICIA COMPANYN SIGNATURE REGISTERED I Y/ N FEE CURREK L_XLN J <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y1 N FEE CURREN <br /> Address License#F— <br /> MECHANICAL COMPANY lbahris <br /> SIGNATURE REGISTERED I Y/ N I FEE tURREN I YIN <br /> Address fllf-011 Jq'y Z'471 1b 5�,L,33 License# <br /> OTHER COMPANY <br /> SIGNATURE <br /> I REGISTERED I YIN FEE CURRET, <br /> Addre-is 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 ton(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 subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complere Sets of Building Plans plus a Lite Befoty page;(1)set 01 Energy Forms.R-O-W Permit for new construction. <br /> Minimum ton(10)worldng days after submittal date. Required onsifte,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&I dumpster.Site Work Permit for off 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 /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over MOO,a Notice of Commencement Is required, (Alc upgrades over$7.500) <br /> Agent(for the contractor)Or Paver OI`AttOTT1QY(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> RerocfsifW#ingIOs ','-'SOwmts-","-'SerAceUpgrades"AIC",.'F6n6es'(PloV$urveyiFootage) <br /> Driveways-Not over Cdu'n'te"r ifOnlu"'ic ROW-' <br /> r! <br /> 4'' <br />