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I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiyed <br /> I v :Phone Contact for Permitting' <br /> Owner's Name vek Ke 71-k w e one-Number <br /> Owner's Address o w ed r`Phone Number <br /> Fee Simple!Titleholder Name Owner,Phone Number <br /> Fee Simple!Titleholder Address <br /> JOB ADDRESS 9' Ve LOT# <br /> i <br /> SUBDIVISION rayodw PARCEL D# �2`Z�'Z-� <br /> i (OBTAINED FROM PROPER NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = DEMOLISH <br /> 8INSTALL B :REPAIR <br /> PROPOSED.USE = SFR Q COMM = OTHER <br /> TYPE•"OF CONSTRUCTION ® BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK /ve t n/ <br /> BUILDING SIZE S2gX,S'O 7 SO FOOTAGE 2�78 HEIGHT <br /> "s-.•f <br /> =BUILDING 0�3.• VALUATION-OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. ��� <br /> .=PLUMBING $ st <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION=GAS = ROOFING Q SPECIALTY OTHERSs <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YESl a` <br /> BUILDER G //�� COMPANY CvJ/lJn7/ddl1R'J LL�i �P✓ <br /> SIGNATURE jL REGISTERED Y-/ N FEE CURREN Y/N W Q,p(p��,1� <br /> i / vl" <br /> Address -License# <br /> I <br /> ;ELECTRICIAN U �f Y�C b AT L� <br /> COMPANY Uy <br /> SIGNATURE REGISTERED / N FEE CURREN <br /> 'Address* License# !�d 22 <br /> f Yam' <br /> PLUMBER.; COMPANY <br /> `r''-SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> r <br /> Address License# - 77- Tlarnl <br /> COMPANY . _rov yn/ <br /> `SIGNATURE REGISTERED Y/ N _ , FEE CURREN- Y'/N <br /> AdiJress'' License•#-� C�O 7/�s/ <br /> OTHER", <br /> COM.PANY <br /> SIGNATURE::r,: REGISTERED I...Y/.N FEE CURREN <br /> Address,n <br /> License# <br /> h.:RESIDENTIALr_; 'Attach.RYPlot P.wns;:(2,)sets ofBuil'dIng Plans;(1),set'of EneFgyForms;R=O-W-Permitfor new,constiuction, <br /> i Mmimum;ten(;10);working days aftersubMittal•date.'Required onsite;Constriction Plans.�Stonnwater Plans wi-Silt Fence installed,. <br /> SanitarygFacil(ties,&r_1,dumpster;SiteWorie.Permitfor.subdivisions/largeprojects -.,., <br /> COMMERCIAL Attach°(2)complete'sets of'Building`Pians'plu"s 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'p�ojects.All commercial requirements must meet compliance <br /> SIGN,PERMIT ^Attach`(2)sets:;of,Engneered;Flans:> <br /> """PROPERTY SURVEY required for all.NEW construction.. <br /> ;;Directions: >, •; <br /> Fil[but:application completely. r <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(forthe;contractor),or,Power'of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER'.THE COUNT_ER 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 publicroadways::needs ROW - <br />