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813-780-0020 City of Zephyrhills Permit Application Fa"13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 1(9�3 <br /> &Owners Name 015* E VAkAS' Owner Phone Number <br /> Owner's Addross5oia Nuthb.N Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS 3D AW Y, IJA) R>-(A<, LOT# <br /> SUBDIVISION I Aa�&,J PARCELID#1 =a)—q,'2&b0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTRF ADDIALT SIGN DEMOLISH <br /> INSTALL <br /> t REPAIR <br /> NSTALL F <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK im 1��c <br /> t� 7 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> uisV-&4L IL IL IL BUILDING <br /> V <br /> NG 11 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> P- <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> *a*f4filiff a fog ap paql-S-q <br /> _ Jd f fir,► <br /> v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> . Add. Ucense# I scc CZ t k" <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN LIIN_j <br /> Address License#F— <br /> PLUMBER COMPANY <br /> SIGNATURE I REGISTERED IYN FEECURREN LILN_j <br /> Address —I License#F— <br /> MECHANICAL COMPANY N ILL <br /> SIGNATURE REGISTERED Y/N FEE CURREN _J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREN <br /> Address <br /> I license# F <br /> 949-1 WIF 9.9 9 M.19.11.2-19 9 9 9,4 9 S.111.S 9 Vs W'a M-11-S 6,11:�SAL I'a a a-W Ir.s. , . <br /> RESIDENTIAL Attach(2)Plot Plow.(2)sets of BuRding Plans-,(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsile.Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisfors/large 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 now construclion. <br /> Minimum ten(10)working days after submittal date.Requited onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.Ali commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —*PROPERTY SURVEY required for all NEW construction. <br /> A <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 /> Agent(for the eantroctor)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 /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plol/Suntay/Footage) <br /> Driveways-Not over Counter if on public roodways..noods ROW <br />