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813.76D4)D20 City of Zephyrhills Permit Application FInr-B13-780.0021 <br /> Building DepartffMt <br /> Date Received Phone Contact for Penn r 3 <br /> Owners Name ��n^i(� A �b�S� t!t� Owner Phone Number 3�4�z7-7z <br /> Owners Address C�� e-OkeA l � !R— Owner Phone Number <br /> Fee Shriple Titleholder Name I I Owner Phone Number <br /> Fee Simple TltleholderAddress <br /> JOB-ADDRESS oo4e, to LOT# F <br /> SUBDIVISION FETE'�A VS PARCEL ID# � 6'25-2I..OIIcO -OPI00 pa�t� <br /> -. - (OBTAIN®FROM PROPERTY TAR I0TICRa <br /> WORK PROPOSED B NewODNSTRB ADDIALT = 8I13N [] 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [] COMM = OTHER w I VA Net ry <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING Sig SQ FOOTAGE =Zr HEIGHT <br /> [BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 2 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C- <br /> =PLUMBING s <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / y/ <br /> =GAS Q ROOFING 0 SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I <br /> BUILDER LU COMPANY ��SZ-Wff- T-toL5 <br /> SIGNATURE REGISTERED I Y/N FEE M RM. <br /> Address License# 5E1 q isi? <br /> ELECTRICIAN COMPANY Aw�tUS 32,12VCF. (S' <br /> SIGNATURE REGISTERED I YIN FEECURREI I YIN <br /> Address IOW1 ku-"WILEuIIE- (ZtvEA-c+tt33578 UcelTse#I Fv')3�11395- <br /> PLUMBER COMPANY Sakf- <br /> SIGNATURE REGISTERED YIN IS WRREe I Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURM Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREll Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Balding Plans;(1)setof Energy Fomns R-0 W Permit for new corewc0an, <br /> Minimum ten(10)working days alter submittal date. Required orwlte,Construction Plans,Stormweler Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Wark Permit for subdnvislonsUrge projects <br /> COMMERCIAL Attach(2)complete sets of BuTding,Plans plus a Life Safety Page;(1)sat of Energy Forms-R-04V Permit for new constnxxton. <br /> Minimum ten(10)wori ft days after submittal date-'Required onsits,Construction Plans,Stormwater Plans w/Sllt Fence Installed, <br /> Safdtary Facilities&I dompstar.Site Work Permit for all new projects.All commercial requirements must Inset compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY requited for all NEW-construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Nodes of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(I"e,contractor)or'INY er of AUomey(for rhe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITi1NG (copy of contract required) <br /> Reroofs If shingles Sewers SeMca Upgrades A/C Fences(Plot/Survey/Footage)' <br /> Driveways-Not over Counter[tan public roedways..rieeCs ROW <br />