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81$780-0020 city of Zephyrhills Permit Application <br /> Building Department <br /> .......... <br /> Date Received phone Contact for Permitting"aMMOL'a" umber <br /> A 1 -7 <br /> ownees OIvner Phone Number <br /> Owner's`Address gg3& CO-Irro 1 I St�Gtt�r n owner Phone Number, <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 131 0-ss o rn B I v LOT# <br /> SUBDIVISION kq4n 131&mm 713o*4ARCEL 109 /5,,iu-aV-017E-o0-7o0- ooe—o <br /> t-STAIN <br /> O FRO <br /> M PROPEK"TAX NOTICE) <br /> WORK PROPOSED NEW ooNsrR ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER I <br /> TYPE OF CONSTRUCTION M BLOCK = FRAME STEEL <br /> DESCRIPT.ON OF WORK JHts , &Iyal 61C Ohonae- out, Qco2W -5f 7—ONSP IV— <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> VALUATION OF TOTAL CONSTRUCTION <br /> BUILDING 1$ <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> =11 MBINGHANICAL is 1�3 i <br /> �EC VALUATION OF MECHANICAL INSTALLATION <br /> rV ZEC75 <br /> =o.t's = ROOFING r7 SPECIALTY = OTHER <br /> FINISHED rLOOR ELEVATIONS FLOOD ZONE AREA =YES NO All <br /> BUILDER COMPANY <br /> REGISTERED I YIN FEE CURREN LZ.LN <br /> SIGNATURA. <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRa <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRFA <br /> Address License# <br /> MECHANICAL COMPANY I r�oh P;r. Inane 6aSt-Me-Trle� <br /> SIGNATUR1. REGISTERED I YIN FEE CURREK I Y/N <br /> Address qqql <br /> ZtffW KQ L. WiiLfl License#Mal <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address' License# <br /> RESIDEW�AL Attach 0 Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for now constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster:Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a We Safety Page;(1)set of Energy Forms.R-O-W Permit for new construolion. <br /> Minimurn tot)(10)working days sitor submittal date. Required onsite.construction Plans.Stotmwater Plans w]Sift Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PER101117 Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . <br /> Fill ou7 application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$Two) <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 /> Rercas if smingles, 89"rs'�, , Service Upgrades Ne...,..,Fences,(plottSurvey/Footage_,,- <br /> Driveways Not over Counter�N on public rDa I <br /> dwayV..needs,ROW--, <br />