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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> D I ate Received Phone Contact for Permitting 6(v_(Daekorito CAw" <br /> Owner's Name Owner* Phone Number <br /> Owner's Addressl �7aphp 33 Owner Phone Number <br /> Fee Simple Titleholder Name ML Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION F_3 - i kie-mx\o PARCEL ID# NL4 -2-(e 7� 61-V5 MCOO 67M <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK :51M, 10 &V1d%4� rJfSiJ9rK_L <br /> BUILDING SIZE SQ FOOTAGE Zift HEIGHT <br /> =BUILD`IN`G. . . VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY = WA.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATIO N OF MECHANICAL INSTALLATION <br /> 0A rN* I <br /> =GAS Ey ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 9. (C) <br /> . . . . . . . . . . . . . . r 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY IV\ <br /> SIGNATURE o REGISTERED Y/ N FEP_CURRER L_LLN__j <br /> Address (007, f-COVA, 2)1- License# 1—CiE scmu I <br /> _R> :&Aq Elerfn-- L <br /> ELECTRICIAN # 01 COMPANY s <br /> SIGNATURE REGISTERED Y/ N FEE-CORREN Y-7 N I <br /> Address ,�4 _JbhIfts_VkWw %, ,4-n License# I Ec Q 039-1 S_ <br /> PLUMBER COMPANY A . <br /> SIGNATURE REGISTERED Y/ N 'FEECIJRRdh I YIN_ l <br /> L Address RZ-11 TZ !cerise# <br /> aw 1362s?— 6(4142- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED VN I FEE CURREN -1"Y- N <br /> Address 15-q07 I)Dnjv� C� lLieWt 5­1 License# [a co 33 5. <br /> HER COMPANY <br /> NATURE REGISTERED FEE CURREN Y/N <br /> Address Net, pal 1-11 111111111 111 1 1 1 1 1 1 License#J cwl 2 5-_2 3-3 <br /> 111111111111 11111- IMPI-1 111 -11 , <br /> ENTIAL - 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 w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> ICIAL 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&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 1IT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW Construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> oplication completely. <br /> Contractor sign back of application,notarized <br /> 500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> LATER PERMITTING (copy of contract required) <br /> S Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Not over Counter if on public roadways..needs ROW <br />