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,813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> — <br /> Date Received Phone Contact for Permitting F8( 2)1 <br /> 1 ........ ...........q.............. - 6L4 L4 1; <br /> Owner's Namel U( S-Ruj- ooJ R04A Owner Phone Number _ <br /> Owner's F�io 6, V70% 6-1 C4, �-71 D, 6-7 Q, 71 <br /> Owne' Address Owner Phone Number <br /> 01 15-1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS! 6-7 b 01 q I (D7 6�j �-7 10, (p-71c? ot(6 LOT# <br /> SUBDIVISION F PARCEL,ID#IN -di l5alb-G 133b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN MOVE DEMOLISH <br /> e INSTALL REPAIR j -a <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK fi FRAME STEEL OTHER I <br /> . kT DESCRIPTION OF WORK 4 e- (06 1�9 F ctVhatf 511jn le5 044v4i�c- ur\bf(0� <br /> HEIGHT <br /> Z51 la '510et <br /> BUILDING SIZE SQ FOOTAGE C._ Ht <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C, <br /> PLUMBING $ 9 q <br /> MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR E.LEVATIbNS, FLOOD ZONE AREA AYES =NO <br /> HHAGINHERmlHo lemma HelesHonm a Dom oNe Howiffm <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURRENT YIN <br /> Address Licenseo F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT <br /> Address License# F-7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# F— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT LYLN <br /> Address A /1 License# F-7- <br /> OTHER° COMPANY <br /> SIGNATURE I REGISTERED FEE CURREN T I (Y.)N <br /> Address License# I`— -HHHHHi H, I I I I I I I I I I I I I I I 1- 111 1 0 1111 11 f-H <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&'I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL. Attach(3)sets of-Building Plans;-(I)set of Energy Forms.,R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Re-40ifed'onsite,Construction Plans',Stormwater Plan's w/Silt Fence installed, <br /> Sanitary Facilities&I 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 /> ...............................I............................ ........ ......... ...............rrr7TTrrTTr= <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 Sewers Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> D lveways-Not over.Counter If public�' adways..needs ROW <br /> r , onTo <br />