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78134s0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ � . Phone Contact for Permitting •^� -ry C� <br /> Owner's Name i�G.,Y) C t n- vrlkt' (-1�% �,�C> Owner Phone Number <br /> 1.3-- IL�'1- 8�IJ' <br /> Owner's Address L�1 ��` 5 �� ! `�I�S �' `�' �`�l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> (�(�(� LOT# 3 <br /> JOB ADDRESS ^� 22 <br /> SUBDIVISION >r!--,� �NOa -aL " �11 )3�o-o©C?f9C`)(� �3 7� <br /> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TX(NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> INSTALL a REPAIR <br /> PROPOSED USE E� SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION I BLOCK . = FRAME STEEL = <br /> DESCRIPTION OF WORK J <br /> rr <br /> BUILDING SIZE SQ FOOTAGE 1 tri G HEIGHTI <br /> =BUILDING $ 9 5- l 0 <br /> 00 VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ I J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ (�00 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` Y S� <br /> =GAS = ROOFING Q SPECIALTY = OTHER a <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES v NO C/4.h- <br /> BUILDER' COMPANY VVIC.f1 con'-��'!u�( <br /> SIGNATURE REGISTERED YV N FEE CURREN Y/N I <br /> / <br /> Address License# J <br /> ELECTRICIAN COMPANY �tsSLC9 `�f�ri+v <br /> SIGNATURE )!!11 REGISTERED Y/ N FEE CURREN Y/N <br /> Address `lJ� 5 License# <br /> ^ <br /> —� �,i <br /> PLUMBER `/ - COMPANY- =� 3 5 C\1.���� ✓O , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License# -- <br /> MECHANICAL COMPANY Su I/\V\4 ���... <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER <br /> SIGNATURE,. REGISTERED / N FEE CURREN LY/N <br /> Address b 4 1 ,SZ r 4;`15 f L I License# 6C 613 <br /> RESIDENTIAL >. Attach-(2):Plot Plans;"(2)sets ofBuilding Plans;(1)set'of Energy Foams;R-O-VII Permit.for new-construction, <br /> -Minimum 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 /> COMMERCIAL Attach,(2)cornpiete 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&1 dumpster.Site Work Permit forall-new 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,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 letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) =-" ~°"-.G�s•._.:,._,rt%-•r= <br /> Reroofs if shingles Sewers €.. .,ySice~U}grades,..A/C,eu.:.aEences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if,on;public roadways..needs=ROW& <br />