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813-780-002D City of Zephyrhills Permit Application Fax-813-780-0021 /0 <br /> Building Departirient <br /> Date Received <br /> I Phone Contact for Permitting <br /> nVe'trtMtZ Owr, <br /> Owner's Name w5rfrnews V�W ar Phone Number <br /> Owner's Add. 6 0 74 rf6floq Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple*Titleholder Address I <br /> JOB ADDRESS I(P-781 LOT# <br /> SUBDIVISION PARCEL 104IF02-atrv.21-0010-00 IPOO-00 av <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED M NEW CON ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL <br /> OESCRIPT.ON OF WORK M�—.6ualAdChOtlae-OU4-iQ &Mi2oneni5,2-5TC)&I 11+ <br /> BUILDING SIZE I-- I SQFOOTAGE . HEIGHT <br /> . .ffBZlI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> LDING IS VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESSENERGY = W.R.E.C. <br /> =F-LUMBING 1$ <br /> MECHANICAL 1$417,5.L)F-1 VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -6-9.64". <br /> BUILDER COMPANY <br /> SIGNATUR?- E Y--- <br /> REGISTERED I I N FEE CURREN <br /> Address F- License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N I FEECURRV, <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY t6hlf`� fftwe—(905 tr e-T—h <br /> SIGNATUF.. REGISTERED I YIN I FEE CURREN I YIN C <br /> I <br /> qql <br /> Address Mn Kd ZhA75 33WI License# 0 M 14�—T4 <br /> OTHER COMPANY = I <br /> SIGNATURE 4 REGISTERED I Y/ N FEE CURREN <br /> Address License#F <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days afterisubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&I duT er se. M Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL. Attach(2)coripiete ng Plans Plus a Life Safety Page;(1)set of Energy Forms.R-0-W,Permit for new construction. <br /> Minimum ten(10)working days after submittal date. RequIred onsle,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary F36ilftles&1 dumPster.She Work Permit for all now projects.All Commercial requirements must <br /> SIGN PEMIIT Attach(2)sets of Engineered plans, meet compliance <br /> 1 <br /> —PROPERTY SURVEY required for all NEW construction. <br /> DI= <br /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized. <br /> If over$2600,a Notice of Commencement is required. (A/C upgrades over$7WO) <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 /> Reroofs itsningles-,r,,Seysrs,,,-.,.-"caUp ces <br /> gr�dqs�Vf (PIOVSurvey/Footage) <br /> Drl,veiways-Not over cauhi6r'ifanpublictoadWby8:lneedsth6w, I", <br /> 141 <br />