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813-780-0020 City of Zephyrhills ftrmit Application Fa"13-780-0021 <br /> Building Department <br /> F <br /> Date Received Phone Contact for Permitting r7 <br /> "P 0 Owner's Name AN ANdA Owner Phone Numbs <br /> Owner's Address 3 Q rox ?"w Owner Phone Number <br /> Fee Simple Titleholder Name F_ Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 3 q i i o rw '(Zu,,) LOT# <br /> SUBDIVISION Si 1,/L, o PARCELID#103—dto—dj—0 0-0-6=u—03(a.0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 5 ADDIALT SIGN Q Q DEMOLISH INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK —,A (.0 <br /> BUILDING SIZE SO FOOTAGE I HEIGHTIr <br /> -1E-X7V1" k K JL JE AL IL JL k IL X dL IL-L ft��L -L IL W c x-k e.IL k k JEk IL&IL&L JL IL IL 1L IL q. 11.ME t <br /> i -'LLLL'KI LD IN'G I' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE O PROGRESS ENERGY W.FLE.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION Q <br /> =GAS Q ROOFING = SPECIALTY = OTHER tJ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No <br /> Zee <br /> BUILDER COMPANY E N-r(:z. SC A3�:L NU <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address (yCf/q (an.-A TIA'. License# <br /> COMPANY <br /> ELECTRICIAN REGISTERED Y/N FEE CURREN L SIGNATURE _y N <br /> Address License# L_J <br /> PLUMBER COMPANY = I <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address —1 License#F— <br /> MECHANICAL COMPANY = I <br /> SIGNATURE F REGISTERED YIN FEE CURREN LY/N <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN L_KLN J <br /> Address —1 Ucense# F— 1 <br /> N'SAW�F9JECE a ALS'lliva.a It a t.M:9*:XWA at-W ts.2irt a I itYEf..€$$1 <br /> RESIDENTIAL Attach(2)Plot Plans.(2)sets of Building Plans-,(1)set of Energy Farms:R-O-W Permit for now construction, <br /> Minimum ten(10)working days after submftf date.Required onsite,Construction Plans,Stormwater Plans w/SIR Fence Installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivigionanarge 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 submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 clumpster.Site Work Permit for all now 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: ssss sss ff*%11.0sili-liffs4st III fF*4 4 111 <br /> Fill-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$7500) <br /> Asont(for the contractor)or Power of Attorney(for the owner)woult!Do someone with notarized lefter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 />