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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 I.5 I J� Phone Contact for Perml Ing /7G? $y����C ) <br /> i <br /> Owner's Name JF7a I 06 fAm ' 5}- Own a Number <br /> Owner's Address 1 5/355 0- A inn£ i . ;360 Owner Phone Number <br /> Fee Simple Titleholder wner Phone Number <br /> Fee Simple Titleholder;Na:res , EEA <br /> JOB ADDRESS 3$7a J 9 ,plus. Z- 3 5 e/Q LOT# <br /> SUBDIVISION PARCEL ID# JJ-a&-.2 1 `Oo I D- 10 Sj O p -CDC)0/U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER �L/I T'12 1. o J�� <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = I I >2't l A G t- 16 <br /> 4 fC/70g4/-IZ(, `65'/1/y-2 r Z <br /> DESCRIPTION OF WORK 2froaJ2�2f /� ti C n f t r", LJI a ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ / �75 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1, AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ + <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER Q ( � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER �21 SIGNATURE & COMPERED � N G FEE CURREN n <br /> ANYN S.a c,I S <br /> SIGNATURE i I <br /> Address 3 , >t2. 40 ;AeOl 3(/&l Lticense# eG C/3.7 87 U <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111 <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,Stonmwater Plans w/Silt Fence installed, <br /> 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 /> 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$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) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />