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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> N Building Department Q Q ,^F� <br /> Date Received 5 6 �� Phone Contact for Permitting /� I� r 09w <br /> r�-rrrrrr <br /> Owner's Name Y 11 ��(1A L- Owner Phone Number <br /> e3�Q�\ya-t cc� <br /> Owner's Address yCC C Q�� S r SIA 2� F' Owner Pho�Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 'n\O%LJ\(� <br /> JOB ADDRESS 4© G7 ` L1 LOT# <br /> SUBDIVISION PARCEL ID# 3S-ZS-2`•0�30 C)OCOO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK�Q FRAME = STEEL = pr\ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I SQ FOOTAGE 4157 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 10 r 000 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> ®MECHANICAL $ /DC,0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1�' <br /> BUILDER COMPANY 1 Culle-S <br /> SIGNATURE `RE,GISTERED Y N FEE CURREN I Y/N �7 <br /> dress ��25 C Q�`a F`S� 0A License# C b <br /> l/lam' ?7ETRICIAN <'f� 7 ,J COMPANY <br /> ATURE `"�-'�'- _ `e REGISTERED Y/ N FEE CURREN Y/N <br /> r/f/'J/ �J Address License# <br /> I PLUMBER �//A COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> MECHANICAL �Q^�� OMPANY <br /> SIGNATURE !J—� VVVKKKLLL REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK - Y/N - <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIilltlllllllltllllllllllllllllllllllll'I1-: <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&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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW , <br />