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e13-78HO20 City of Zephyrhills Permit Application Faz$13-7e0-0021 <br /> Boffding Department <br /> DateReeeived PhoneCentaetforPertnittln ( �L 1 v <br /> eat"aeaaIt aa1114 <br /> Owners Name LIUf e n Owner phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address j� r <br /> JOBAODRESS -j d 1 S r �ry Z LOT* <br /> SUBDIVISION PARCEL IDA 01(3 -2 <br /> 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADDIALT U SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM © OTHER Pro Ar <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL 0' <br /> DESCRIPTION OF WORK '1) Stu JAI,dUC, <br /> BUILDING SIZE x r.j(SC FOOTAGE HEIGHT <br /> ZK"CtCCC'C"C'CCC'ER. TSi SLSCC tkIL CAE*C'KtItE-CS"SLSS6LS"KStTK9-CCWSttS's'CC'C'S"SS[• <br /> BUILDING 1$r- '. C VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY O /W�R�E.C. <br /> QPLUMBING Is �/�r� ILC..Y <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION •�IJJ, j` <br /> QGAS Q ROOFING Q SPECIALTY = OTHER V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO t <br /> BUILDER COMPANY f �� <br /> SIGNATURE REGISTERED I YIN FEECUMM I Ylb <br /> Address 3��3 LnsePr UT,MIELECTRICIANCOMPANY <br /> SIGNATURE REGISTERED YIN FEEcuRRErr rYIN <br /> Address (` License it - —� <br /> PLUMBER I COMPANY - <br /> SIGNATURE REGISTERED I YIN FEECURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED I Y/N-'' FEECURF04' :YIN <br /> Address Licertseg <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CU(RRENN <br /> Address License A'i I <br /> f[[tllil111!"i[t![Eli[[LIl[tt't"[,tl'[[ti [[[-EEitffti'�[!f[L"!-E[i'[t![[tI[if`[: <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buffing Plans;(1)set of Energy Fors;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after subrignai date.Requtrod,onsite,Constnxdion Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdMdonanarge projects <br /> COMMERCIAL Affect(2)complete Sams of Building Plans plus a Life Safety Page;(1)set of Energy Fomrs.R.O.W Peanit for new construction. <br /> Minimum ten(10)working days after Submittal date.Required onsifa,Construction Plans,Stomnvater Plans vd Silt Fence installed, <br /> Sanitary Facilities&-1 dumpster.Site Work Pant foraff new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach'(2yset4 of Engineeied Plans. <br /> ""PROPERTY SURVEY,required forall NEW,consttuction. <br /> Directio»s�' " <br /> Fill out application Completely. <br /> Owner&Contractbr sign back of application,nolaraed <br /> if over 112700,a No*&of Commeneemeet is required(AIC upgrades over$74500) <br /> Agent(for the contractor)or Powerof Atlomey(for the owner)would be someone with notarrsed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrail required) <br /> Remcfe if shingles Sewers Service Upgrades A/C Fences(PloMurvey/Footage) <br /> Driveways-Not over Counter H on public roadways-needs ROW <br /> s <br />