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'lo,813-780-0020 City of Zephyrhills Permit Application Fa-S, -7mm2i 8` 7 <br /> Building Department -T <br /> A v <br /> Date Received Phone Contact A for Permitting E501 <br /> -F-t-rT-U . . . . . . . . . . .. <br /> Owner's Name V1J owner Phone Number 3 5,q 1-6 <br /> Owner's Addresj$ffa(�P: Pyri+r- br owner Phone Number Fed Simple Titleholder Name owner Phone Number F-- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [94?4 Pyr i'be- br, ZhMSFL -335-40-� - Lo-r# <br /> obt)o OD06—opq0 <br /> SURDP41SION [Emera Id Po i PARCEL ID# ;441 P I <br /> (OSITAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> P INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK/ <br /> = FRAME STEEL <br /> DESCRIPTION OF WORK 05P <br /> BUILDING SIZE So FOOTAGE HEIGHT <br /> -tmrlr—r I I r"Ill'"I'l <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (S AMP SERVICE PROGRESS ENERGY W.R.E.C, <br /> �FL WING IS <br /> M N,E( <br /> ECHANICAL J$LI,6(5�0U� VALUATION OF MECHANICAL INSTALLATION <br /> =(".1kS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED wLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY = <br /> SIGNA _TUR REGISTERED I Y/ N FEE cumer, <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREII I YIN <br /> Addmzs License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURPE?, L_XLN_j <br /> Address License <br /> MECHANICAL COMPANY h7b'5 Pr 002 rX Clas NC <br /> SIGNATUP REGISTERED I Y/ N I FEE CURREN I YIN <br /> Address qq4t-Al U Zhd 1:5--qW i License#109043-Wy- <br /> OTHER COMPANY = <br /> SIGNATUR9. REGISTERED I Y/ N FEE CURREN <br /> Address License#7— <br /> IN 11111 111 <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 w/Silt Fence installed, <br /> Sanitary Facilities&I dumpstSfr,Site Work Permit for subdivisions/large projects' <br /> COMMERCIAL Attach(2)complete sets of Building Plans Plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten,(1 0)working days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for aft new projects.Aft Commercial requirements must meet compliance.. <br /> SIGN PEWIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction.t <br /> " . . . . . . . . . . . . . . . <br /> DittInt:1 m a a <br /> Fill ou:application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2501%a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lefter6orn owner allthodzing same <br /> . <br /> OVER THE COUNTER PERMITTING (copy,of contract required) <br /> Reroof,sil'sningles - Sawirs— Se -"5'tices(Not/Survey/Fwg.) <br /> Driveways-Not over Counter if on public roadwa ..n Ro,�-V, <br /> ys <br /> V <br />