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813-780-0020 City of Zephyrhills Permit Application Fax-813760-W21 <br /> Building Department <br /> Date Received Phone,r Contact for r P. I ttl.a +110 <br /> _. ' ' 'Owner's Name Ar+V-Nur- I Owner Phone Number I'll 437 <br /> Owners Address Ln�nd Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee StimplaTtliteholder Address- <br /> JOB ADDRESS S Q LOT III <br /> SUBDIVISION PARCEL I D#�*3 It <br /> (OBTAINED F.O.PROPERTY TAX NOTI <br /> CE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM W OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> J <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAG'14 I HEIGHT <br /> =BUILDING 1$ I'l 10840 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> t N <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO U/ <br /> _AIJILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address F License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK LILIN J <br /> Address I Llcense# <br /> PLUMBER COMPANY = <br /> SIGNATURE F REGISTERED I YIN FEE CURREK I YIN I <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N- FEECURRa LILN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRa I YIN <br /> Address :U71D Okt d License# I MC 13 2A <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 ton(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SIR Fence Installed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for subdivislonsfiafga 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)warldrig days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 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 construction. <br /> Directions: <br /> 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 some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PloVSurvey[Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />