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813-7e0-0020 City of Zephyrhills Permit Application rax-esi-s-rssu-uuz, <br /> Building Department <br /> Date Received -Phone Contact`for'Permitting <br /> Owner's Name `q�+ZD Owner Phone Number <br /> Owner's Address 473 8 g+ i' �Q Owner Phone Number <br /> Fee SimpleiTitleholder Name Owner Phone Number, ' <br /> Fee Simple;Titleholder Address G J , <br /> JOB ADDRESS 473 0 I L�^'J'l t'J� LOT# <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED ' ADD/ALT 0 SIGN 0 = DEMOLISH <br /> R <br /> NEW CONSTR INSTALL e -REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE'.OF CONSTRUCTION = BLOCK • 0 FRAME 0, STEEL .0 <br /> DESCRIPTION OF WORK "Ile <br /> 7S <br /> BUILDING;SIZE SQ'FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> r-IELECT-RICAL $ AMP SERVICE = PROGRESS ENERGY ,0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION, l <br /> =.GAs Q, ROOFING = SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER , COMPANY <br /> SIGNATURE / REGISTERED Y/ N'. FEE.CURRgN y' X N <br /> Address S/So e Li/u Lieense.# !i 6 !s <br /> ELECTRICIAN COMPANY <br /> `'SIGNATURE REGISTERED Y/ N .FEE CURREK Y/N. <br /> Address' - License# <br /> PLUMBER:; `COMPANY- <br /> -SIGNATURE REGISTERED J .Y/ W '." ,FEE CURREN L Y/N: . - <br /> Address .Llcense# <br /> -MECHANICAL COMPANY <br /> ".SIGNATURE'.' '- REGISTERED Y/•N FEE.CURREN. .: ..: <br /> Address-r License.# <br /> .OTHER=" ='COMPANY <br /> "SSGGNATURE ;:::; [ REGISTERED Y/.N FEE`CURREN Y/N <br /> _ Address ; r�r License# <br /> 'RESIDENTIAL:: Attach';2?Plot Plans};2 sets'•of Buildiri Plaris; 1 set of=Ene 'Forms,R=Q=W Permitfor'new,constiuction, <br /> _ .-(,).. l O. 9 � ) r9Y: ,... it_..•� .:"._ �. tea <br /> z:5 ,,,:r•:;.,Minimum>teri('10. working;'days;aftersuliriiittal,date.'>Required'onsite CbriMiUction�Plans;S'tomiwater Plans virl Sflt Fence installed, <br /> Sanitary:Facilities,;&;1,_dumpster;,Sife vWork:Permit:forsubdivisio_ns�argeproJects.: <br /> ` s,COMIMERCIAL Attacti'�2)zcomplete sets of Building Plans pl-us 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 W-`61l=new`projects.All commercial requirements must meet compliance <br /> ,.-SIGWPERMIT Attao6'(2)sets of,.Engineered <br /> "*'"PROPERTY SURVEY requtred,for,all,NEW,construction... <br /> _ _ _ <br /> Directions• <br /> Fill`.out;epplication 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 /> 'SF.::' ,.;'- <br /> Agent..(for'ttie•cantractoe)�or Power of-Attomey(for'the owner)wiould'tie someone with notarized letter from owner authorizing same <br /> OVER.THE COUNTER PERMrl?ING., :.:.:,:.:(copy_of contract- <br /> required) <br /> Reroofs ifsFSingles Sewers Service:Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on publicroadways::riee'ds'"Rowi <br />