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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department / (� <br /> Date Received 3 rrrr= Phone Contact for Permitting <br /> Q 1 � a <br /> Owner's Name t` I v U I n S _L_LJ_LLLJL_ <br /> Owner Phone Number <br /> Owner's Address 3o Ofeell VCt.l(E V Un i f: 9la KJCl'�r bN IVa 1 i � O�rne <br /> Ca ry r Phone Number <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �n I LS ( I ,r <br /> JOB ADDRESS 30�10� / St Ve- VI (h1 ( 335`fa. LOT# El I <br /> SUBDIVISION Zfl I P� 5 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR ElADD/ALT [ ] SIGN 0 MOVE Q DEMOLISH <br /> IN REPAIR ) (Z_trQ <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK r�� rr FRAME +0 STEEL OTHER <br /> DESCRIPTION OF WORK eq T U-t-r ��"r0()�(7` S e A r (t mbd l'� 05 h�-14 5 ►(� tv � lQ-- C ondi.<< '� <br /> 5I�3_ Sop 2 . <br /> BUILDING SIZE. c OD SQ FOOTAGE L HEIGHT <br /> BUILDING $ �j 2 j 1 O 6 VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ (`J V AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> Q PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 0 GAS ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO <br /> BUILDER- COMPANY <br /> SIGNATURE i REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY K vmngoo-Pne -fh(:- <br /> SIGNATURE _ pp ((II ! REGISTERED Y N FEE RRENT /N <br /> Address 5Dq 13 3�1 5l (h 11 S i' 335 y I License# <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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL. Attach(3)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&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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required._(A/C upgrades over$5000) <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" (Front of Application Only) <br /> Reroofs._x::'.--.Sewers---- Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on,public,,roadways..needs ROW <br />