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813-78MO20 City of Zephyrhills Permit Applicat(on Fax-e13a8aoo21 <br /> Building Department <br /> Date Received Phone Coutec!for Pei Ung itg cZ> <br /> Owners Name 2 U3 C4 r 4 r +- Owner Phone Number ' b J 513 Z 7J�, <br /> Owners Address 3$6zl AVe, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address r_ (( L <br /> JOB ADDRESS 3 2 V Ze h5rPl 6 r `2 <br /> �3 3 LOTS <br /> SUBDIVISION moo re16 l 1 e 5 ; PARCEL IDft I Y-Z 6-Z! 00( —G/gd0-Gb l <br /> (OSTMNED FROM PROPESrYTAX NOTME) <br /> WORK PROPOSED NEW CON51R ADD/ALT = SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR [= COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK Rewetl A5 ik shin 4r e- bt/N A,6w 5h, IW <br /> BUILDING SIZE SO FOOTAGE I ( HEIGHT <br /> 91 <br /> ®BUILDING $ /,E DO�Ov VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ((� AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ 5 7 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J <br /> �y=GAS = ROOFING r-1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER /� ��� COMPANY I Pro-f4f Roo'�,11 <br /> SIGNATURE REGISTERED I Y/N FEE cuRREm Y/N <br /> Address Z.Koo gmrt FJ Z- Pkv„fGf FL.335 License# GCG o5`b lZ <br /> ELECTRICIAN COMPANY �- <br /> SIGNATURE REGISTERED I Y/N FEECURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREN Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEECURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN LILN <br /> Address License# <br /> [:9.2t't[3t[[1_[t[i[[[[[tit:t.ttl.t[i-[tAti11[1[[[[[t.tt-11111111 <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,Stornwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Werk Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,"Construction Plans,Stonnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW consUUotiom <br /> Directlons: <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement is required.(A/C upgrades over$790) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs Ifshingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br />