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813-780-0020 City of Zephyrhills Permit Application of IF °11jFax-813-780-0021 <br /> Building Department TAN 4� 00 <br /> Date Retelved Phone Contact for Permitting <br /> .... ........... ............. Lim, ......1.......... <br /> Owner's Name mweos &Iaadlo Owner Phone Number <br /> Owner's Address 12c/(y?_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F -2q�Z MD, 7//,, LOT# <br /> SUBDIVISION I PARCELID91 2�-26-2(-0(00-000ec)-0640- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> 6 <br /> DESCRIPTION OF WORK F -zi- Y r &.,'4, fle 41e 7q at_ /07 <br /> BUILDING SIZE 1; FOOTAGE HEIGHT <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION' <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> - <br /> FINISHED FLOOR ELEVATIONS [ � FLOOD ZONE AREA =YES- NO <br /> T <br /> BUILDER COMPANY .14 ecom <br /> SIGNATURE REGISTERED N <br /> Address Z/ License 417 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N. FEE 6.1URREN Lyl N_J <br /> Address license <br /> '4 <br /> PLUMBER COMPANY <br /> .SIGNATURE REGISTERED Y/'N.'_[.' - OEE-CURREN <br /> Address t'.License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y./ NJ" FEECURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1 1,11,1 i H I 1 2 i I I I i I H H I I I I I I I I I I I i 1 2 111 i <br /> RESIDENTIAL Attach(2)Plot Plans;(2'),set&of,BuIIdlng Plans;(1).setofEnergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days"after'submittal date. Reolred-onsite;-Construction Plans,Stormwater Plans,w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsfiarge 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-subm!61 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 <br /> quire for,all NEW construction. <br /> 2 9 i <br /> Dir <br /> ilielons: <br /> Fill out application completely. <br /> Owner&Contractor'sign,back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (A/C 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 /> Reroofs if shingles Sewers dficbtilPlot/Survey/Footage) <br /> Pg aee's' <br /> Driveways-Not over Counter If on public roadways'.needs ROW- f� <br />