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813-78D-0020 City of Zephyrhills Permit Application Fax-8`13-780-0021 <br /> r. Building Department <br /> 'T/VV 1760 <br /> Date Received 1Phone Contact for Permitting <br /> Owner's Name vo pju Owner Phone Number <br /> ad Ngi <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (AVP, ibd(mb I I i S A LOT <br /> I 'SUBDIVISION PARCEL ID#11J-2- ZJ— a a t JtJI <br /> (OBTAINED FROM PROPERTY TAX NO'hCE) <br /> WORK PROPOSED NEW CONSTR F--1 ADDIALT SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE = SFR 0 COMM tJ OTHER I PT-MIT <br /> TYPE OF CONSTRUCTION Q BLOCK E:] FRAME Q STEEL = I <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I I SO FOOTAGE, F-1�37— HEIGHT <br /> IUX-X-IE­V1l[-X-W-V <br /> =BUILDING I$9.225D I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ -1 <br /> =MECHANICAL 1$ —1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EB' ROOFING F--1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LYIN J <br /> Address F License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE F REGISTERED YIN FEE CURREN L_Y/N <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address ILicense# <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License <br /> OTHER COMPANY ij qmirfN''T) <br /> SIGNATURE REGISTERED [(YIN I FJEE CUR51HN I YIN <br /> -/I wl PTUM License# I C(11 W L P. I <br /> Address F <br /> loollsolss Ingslaillasis 32-12211111183 121NER1121115 1141112111 Ell 112111 <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 ton(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/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 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 dumpster.Site Work Permit for all new projects.AN commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> Of over$2500,a Notice of Commencement Is required.(AfC 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 /> Remofs If shingles Sewers Service Upgrades A/C Fences(PlatfSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />