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e18-760-0020 City of Zephyrhills Permit Application Faa 8+�Teo 0021 <br /> Building Deportment <br /> Date Received Ph _Contact for Pormlttlng _ <br /> lrrrrllr ons ytlll <br /> OwnereNamo Owner Phone Number q- <br /> Owner's'Addrose o Owner Phone Number <br /> Fern Simple Titleholder Nome Owner Phons Number <br /> Foe Simple Titleholder Address <br /> JOB ADDRESS ((��, �l 2 LOT N <br /> SUBDIVISION llll3yVaara W�(1d PARCELIDM '��21"Q�(p �C�OCOO- Q37� <br /> A A 1% (OBTAINED FROM PROPERTY TALI NOTICE) <br /> WORK PROPOSED ® NEWCONsTRe ADDIALT r , SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME, = STEEL Q <br /> DESCRIPTION OF WORK. / 1 gl C P 4"`E41C!h <br /> BUILDING SIZE SQ FOOTAGE HEIGHT I � -1r+acn UnV. Fence <br /> r1r F. <br /> ��ILOING s-350_•'Bi VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL i s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING' Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY L• e 5 Fy 0110- Cery Jo-lE S t..L t <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURREh Y I N <br /> Address r�<+ :" :_X7�(c "3 p?lAN L Licenses �(cC__) iG 41 7 <br /> 3247 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEEWRREN YhN <br /> Address License s <br /> PLUMBER COMPANY <br /> SIGNATURE RtalsreAgoI YIN I FEEcuRREn Y/N. <br /> Address License/ <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REcrstEREo I YIN FEE cuaREn I Y I N <br /> Addrast License/ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREr Y!N _ <br /> Address License/ <br /> IIIt111111i1111111111111111111111111111111111111111 !'111111111111111 <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 dale. Requlied onsito'.Construction Plans,Stormwater Plans w/Sal Fence installed. <br /> Sanitary Facilities&t dumpster;Silo,.Work Permit for subdivisionsgarge projects <br /> COMMERCIAL Attach(2)complete sots of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R�O-W Permit for new construclion. <br /> Minimum ten(10)working'days after submital dale. Required onsite,Construction Plans,Stormwater Plans w/Slit Farce installed. <br /> Senilary Faciiillas 6 1 dumpstar.Site Work Parm h for all pow pro)eors.An cmmmerWl'requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '•"PROPERTY SURVEY required tar all NEW construction. <br /> - - • . . . I . . . . . .... . ' a' . . . . . . . . . . . ' I I I ' . . . . . . . 1 1..1 • ' L• <br /> Direcllons: <br /> Fill owl application completely. <br /> Owner d Contractor sign beck of application,notarized <br /> If ovor S2500,a Notico of'Commenceinont Is rsqulred. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone vilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools if shingles Sewers Service Upgrades AIC Fences(Plot/SurveylFooege) <br /> Driveways-Not over Counter it on public roadways--needs ROW <br />