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813-78MO20 City of zephyrhills Permit Application <br /> Fax-813-780-t)021 <br /> Building Department <br /> Date R4calved Phone Contact for Permitting I <br /> Ownees Name cs U50 owner Phone Number <br /> w.,,*Add..,S=anno Owner Phone Number <br /> Fee Simple Titleholder Name F— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1316D-7 LOT# <br /> SUBDIVISION PARCELID# yd 11-00go-00000-09au <br /> (olisrAimm FROM PROPERTYTAX NOTICE} <br /> WORK PROPOSED NEWCDNsn19 ADDIAL r SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR r7 Comm OTHER <br /> TYPE OF CONSTRUCTION = BLOCK r7 FRAME STEEL r 1 <br /> DESCRIPT.ON OF WORK ✓ -via Of I^f)rn I,,-- <br /> I Kv-s- Equ 'Idoup — <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING is VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =F'LUMBING Is 41 M � <br /> t <br /> ECHANICAL IS'59(1,61 VALUATION OF MECHANICAL INSTALLATION ' <br /> ROOFING r7 SPECIALTY = OTHER <br /> FINISHED YLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> * a a w a <br /> BUILDER COMPANY I <br /> SIGNATUR4 t REGISTERED I YIN FEE CURREN I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN LXLN_j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEEcuRREN, L_XLN J <br /> Address I License#I <br /> MECHANICAL COMPANY 16—*F7r�s PPo <br /> SIGNATUP pane- <br /> Z REGISTERED I YIN FEE CURREN YIN <br /> .. <br /> Address K4r r <br /> License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERFA FEE CURREN L.XLN_j <br /> Addre 3s License#F— <br /> fill 11111 " i 1 11111 1111 11111 11 111111 11 111111 111 if 11111 11111 <br /> RESIDENTIAL Attach(2)Plot PILS;1(2)1 Sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ton(10)wortring days after submittal date. Required onsite,Construction Plans,etormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsillarge pr6jects <br /> COMMERCIAL Attach(2)complete setsof Building Plans plus a Ufa Safety Page;(1)set of Energy Forms,.R-O-W Permit for new construction. <br /> ,Minimum tan(10)woordma days aftersubmittal date. Required onsite.Construction Plans,Eformwater Ptansw/Sift Forms installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now 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 /> =:INEN = . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ilfr:ft <br /> Fill ou.application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> If ove,$2500,a Notice of Commencement is reiquired. (ArC 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 /> Rerooftil'sningles- ,Sewers, Service Upgrades.NC ..Feitl?es(PIot1SurveyIFoqtage ... .... <br /> Driven,,dys-Not over Counter,it.orripubliefoadwa ys.,.neads-ROW., <br /> '14 <br />