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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received—" :::� Phone Contact for Permitting - <br /> Owner's Name &rV9 F1rS4 Owner Phone Number <br /> Owner's Address '16 k A IY o b Y i 33 r5`(2- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` teLi5 Nvr or-1- Rd Ze I.yy11(}IS 3315K2 LOT# <br /> i <br /> SUBDIVISION PARCELID# 13- 21,. 21 - OD $'0 "OC)Odd -00,4D <br /> �. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL R <br /> REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> �{ TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> Ii DESCRIPTION OF WORK hs d hew 011SCOhnztrr' (Z$okknp tt pahe,1 tr•5tctll 2-5d Ar*p -p'PkA5-f <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT OvP.rl C11'c kt'r S <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �f <br /> =ELECTRICAL $ 2, OV a� AMP SERVICE = PROGRESS ENERGY Q W.R.E.C: <br /> I <br /> =PLUMBING $ nu KZ <br /> M <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ... 11l ..' <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> S <br /> :i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ` License# <br /> g ELECTRICIAN ��,wU'� (7l COMPANY v� Fu^Sfi C(ASS Et�r �RPr <br /> R SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 7it4i diet R yY1��ls 3 (d <br /> License# 1 o 0 a2 5-7 v <br /> PLUMBER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> I <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 /> j Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL 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&1,dumpster.Site Work Permit for all 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 /> 14444444-W <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 Attomey(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 shingles Sewers _ Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter_if,on.public.pop dways.:nebds.ROW <br />