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813-780-0020 City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department <br /> L 99 <br /> Date Recolved Ir,0 n ljrl-b I 3S-q 003`4 J I Phone Contact for Permiltina <br /> Ownses Name J?TS]r-T Nr(A C e SU FT Own Phone Number (q(0, <br /> Owner's Add.. VoN)T' &TARL�, W—J—LV% AV It Owner Number P <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F3000E ST-Pr3lf-E yVLU< Mr. LOT# <br /> SUBOPASION F- PARCELID91. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON57R ADD/ALT = SIGN = Q DEMOLISH <br /> R INSTALL R REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK VNC-181 IA'rWM OF A RMER00WE-h PV SOLAP PA <br /> BUILDING SIZE I I SCI FOOTAGE . . . HEIGHT J BUILDING $ WZ . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .. . .Z VALUATION OF TOTAL CONSTRUCTION <br /> DAELECTRICAL $iM 2 -il]l AMP SERVICE PROGRESS ENERGY = W.R.E.C.i <br /> =PLUMBING is :1 # (9 <br /> r7MECHANICAL —1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER V <br /> FINISHED FLOOR ELEVATIONS —1 FLOOD ZONE AREA =YES NO <br /> gill ! ! — . . . . . .. .. . . . . . . . . . . . . . <br /> BUILDER compAi4y <br /> SIGNATURE REGISTERED YIN I FEE CURREN I ILY IN <br /> Address A v 6.. License#IF-61,360ii-7 <br /> woo <br /> ELECTRICIAN COMPANY SOWR �CVCUACN <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I erIN <br /> TnH Wl <br /> Address f 1,��wo w.4 AArmn P Nt r. License#I P-0366 01 LJ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEECURREN L11N_J <br /> Address I License 9 <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEECURREU% LILN J <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YIN I FEECURREr, LILN J <br /> Address F- -7 License#F— --I <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 subdivislonsilarge 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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/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 consbuction. <br /> &. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions:'tic,na. <br /> frectio Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerooft if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />