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8'13-78MO20 City of Zephyrhills Permit Application Fax-813-78M021 <br /> Building Department <br /> Date Received Phone Contact for Permitting D 0/?5 <br /> -7 <br /> Islas <br /> M- -7�00A <br /> Owners Name Sc a ve- A I a n 4- Kav I owner Phone Number 01--) <br /> Owner's Address 1156N 1-Idlilev i e W Dr Owner Phone Number <br /> Fee Simple Titleholder Name [ - - Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 5-97-6(p Or I o b r- Zhi 11-6 F L '-3`3!! LOT 0 <br /> SUBDIVISION N6J- k4dOE-771 PARCEL lD#- -01-70-00000-1010 -—1 <br /> (OBTAINED FROM PE.TYTA)l NOTICE) <br /> WORK PROPOSED NEW O0NSTFt�P ADDIALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM Q OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK FRAME L.J STEEL <br /> DESCRIFLON OF WORK <br /> 14Z -Ale dh o t4h 1 CQnjQ2m2L o?-BUILDING SIZE ISQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =F-LUMBING is <br /> MA'ECHANICAL 1$30q <br /> 5.00 VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED irLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE-- F REGISTERED I YI N I FEE CURRFN <br /> Address I License#F— <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRFI, T—Y/N <br /> Addw..s I LLCense#F— <br /> MECHj*IIC.AL COMPANY ?UrS ft&Lr=GaSt-filc3rc I <br /> SIGNATUF'Z REGISTERED I YIN I FEE CURREN L_XLN J <br /> Address License#W <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN L—Y I N <br /> Addreis License# 7777-71 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 wl SIR Fence installed, <br /> Saniky Facilities&I dumpster,Sfte Work Permit for sut)divisionstiarge projects <br /> COMMERCIAL Attach(2)'comphit,sets of Building Plans plus a life Safety Page;(1)set of Energy Forms,R-O-W Permit for now construction. <br /> Minimum tort(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/silt Fence installed, <br /> Sanitary Facilities'&I duinjoster.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 /> . . . . . . . . . . 0 . . . . . . . . . . . . . <br /> Directions. <br /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Never$2500,a Notice of Commencement Is required. (A/C Upgrades over$7500) <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 /> Fleroot's if..'ingles Sewers SaIvice Upgrades,AIC. Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter I onypbllcroadways:needs'RO <br /> W <br />