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$13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0D21 <br /> Building Department <br /> Date Received Phone Contact for Permitting 14'13 <br /> IOwner's Name 1J!e4d-&&%a Owner Phone Number MP <br /> Owner's AddresslIeCill $b&- WA #09- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3(cc STi-qT&R- VJ,I k 8-ve, LOT# <br /> SUBDIVISION PlVe4,of. Pqa PARCEL to#rO/—� 6-?/-0,0)6-XI 00-0 3R�p ' <br /> jo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED U2' NEW CONSTFt ADDIALT SIGN DEMOLISH <br /> r-1 INSTALL R REPAIR <br /> PROPOSED USE = SFR = COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK E:] FRAME U STEEL <br /> DESCRIPTION OF WORK tl 10 'vap 514-b !dt'reT,441-r,,N-F,4 If /0 'AAbb SWRZJ <br /> BUILDING SIZE F— I SQ FOOTAGE HEIGHT I-?&" I <br /> IL IL k JE W5_10L-L BE&IL X W k k-L 4L L IL JL X k%IL .'L'L'Lk'L'L V.AL.L.Lky <br /> BUILDING 1$&ow VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.F;LE.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL I,$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES CN <br /> BUILDER COMPANY re,-b-r Suza4nn. NG <br /> SIGNATURE REGISTERED YIN I FEE CURREN I YIN <br /> Address yq 19 c-1 --a,,4 OA.. I License# r/ 9 <br /> ELECTRICIAN I COMPANY = I <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_YLN_j <br /> Address I License#F- <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN LXLN_j <br /> Address 1, License# <br /> MECHANICAL COMPANY = <br /> SIGNATURE F REGISTERED I Y/N FEE CURREN <br /> Address I License# F— 7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LKLN_j <br /> Address i License# I <br /> 9 41.9 t-9 9,W S 9 9,11 Ir-It I A N 9 A 9,1111,9 19-1.9 N�x*'V 11---a 0 X A.*-as as a V a a-11 r A a 2,W.8-4US*R-19 9—v I S'l,I X-I <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plan..(11)set of Energy Forms;R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submittal date.Required onstle,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpstar Site Work Permit for subdivistonsilarge projects <br /> COMMERCIAL Attach(2)complete sets of 8 uIlding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,StornrArater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpsler.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 /> SS-ESS %S11 ss S's <br /> Dr. <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$7600) <br /> Agent(for the contractor)or Power or AUQmey(for the owner)would Do someone with notarized letter fmm owner authorizing same <br /> OVER THE COUNTER PERMIrnNG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />