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813-780-0020 City of Zephyrhills Permit Application rax-:s,s-��u-uvc <br /> Building Department Date Received, - Y( Z3 (8 Phone Contact for Permitting -FS(,3 5qg - (,35 <br /> "7 Owner's Name S C I AI,:ra . Owner Phone Number <br /> Owner's Address 3 3(,o Y I . � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addres <br /> JOB ADDRESS 3 fI Ie �,. �i 1 LOT# <br /> SUBDIVISION z r : is 6k PARCEL ID# 0 J7-1&.G,1- 001 o- qo-L J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE'OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> s <br /> DESCRIPTION OF WORK G n �n 4> k IJ(; A t!{i kj l., <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ S O� AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> E_ZIMECHANICAl_ $ Ch VALUATION OF MECHANICAL INSTALLATION 4kl <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address "License# <br /> 'ELECTRICIAN �SZ L�1 COMPANY cn m-- �;c r V L(C•e S LL_G <br /> SIGNATURE 1 ' REGISTERED Y/ N ' FEE CURREN Y/N <br /> IN <br /> Address 3�� �cl 6J�l�-�s� ® ( .SI G License# FEE(30,3 1. <br /> PLUMBER.: . COMPANY, <br /> SIGNATURE, REGISTERED Y•/ 'N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �l' COMPANY 1 ✓tc� �� C��,in <br /> SIGNATURE REGISTERED j Y/.N FEE C REA• . Y/-N <br /> Address - - 9 LI 3 License#.: <br /> OTHER'. COMPANY <br /> SIGNAT,URE�: z REGISTERED Y/.N FEE CURREN. <br /> •Address:._ - License# <br /> RESIDENTIAL'!, Attach(2):Plof Rlans;'(2)1setsof Buildin6�Plans;'(1)'Set of'Energy Fomis;R,O-W.Permit for new-construction, <br /> Minimum aeri;(10)Working iJays after.submittal date. Required on site;'Construction Plans,.Stotmwater Plans w/Silt Fence installed, <br /> Sanitary facilities&A1 Aumpster;Site;Work Permit for.subdivisioniAarge.projects: <br /> COMMERCIAL Attach(2)'complete'sefs of Building Plans plus aLife 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 ofEngineered 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 th'ecoritractor),or-Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> '.:.OVER THE CCfUNTER PERMITTING (copy;of-,contract-required) <br /> Reroofs if shingles Sewers c Service;Upgrades,./VC °.Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs.'R01N' <br />