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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec6red Phone Contact for Permitting <br /> 794 sea as MIS . . . . <br /> Owner's Warne 8i,nqv, ;TeLnP-4-*Ab rvr7 owner Phone Number V-7-74/1 <br /> Owriees'Addressi7537 Weehawketi Dt- owner Phone Number <br /> Fee simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [376ib Lar# <br /> SUBDIVISION �54 Tana"Azrll OR C E L I F-3-Q&-X-0a150-000 0 0-/1307 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAJR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF coNsTRucnoN = BLOCK Q FRAME STEEL Qom} <br /> 7 I <br /> DESCRIPTION OF WORK 1ffe-5,,er7aa—/ C.C179,fVe-,otd- <br /> ,P-0 QM,00 r7 er�, a To P i <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . .Es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .UILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =F-LUMBING 1$ <br /> MECHANICAL s VALUATION OF MECHANICALI INSTALLATION <br /> I , E—Mi <br /> =0.4s = ROOFING SPECIALTY = OTHER <br /> FINISHED i;LOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE-; REGISTERED I Y1 N FEE CURREI% L_XLN J <br /> Address I License#F-- <br /> ELECTRICIAN COMPANY = I <br /> SIGNATUREF REGISTERED I Y/N FEE CURREI, <br /> Address License#F <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED I YIN FEE CURRU <br /> Address License# <br /> MECHANICAL COMPANY Ir �r� ro, e&tS Al r rn CJ <br /> SIGNATUF REGISTERED Y/ N FEE CURREI, I YIN <br /> Address lie:kl KCI Zh i 116 33%/ License#1 r7 <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L_XLN_j <br /> Addre-,s' License#F <br /> I:ructlon'l <br /> RESIDENTfAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-O-W Permit for new Con <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivisionsnarge pirjects. <br /> COMMERCIAL Attach(2)complete sets of BuildinQ Plans Plus 8 Life Safety Page;(1)set of Energy Forms,R-O-W Permit for new construction. <br /> Minimum ten(10)WOM119 days after Submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sariftary Facilities&I dumpster.Site Work Permit for ad now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered 0". <br /> —PROPERTY SURVEY required for all NEW Construction. <br /> . . . . . . .. . . . . . . . <br /> 16 <br /> Fill ou!application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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 /> Reroofs if sninqles,.- Sewers- -,.-Sanvice Upgrades,AIC- Fences(PlottSmey/Footage) <br /> Driveways4ot ove-r'bdurIi6t if on`'- 61. <br /> pu ic roadirays..needi ROW <br />