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813-78M020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received phone Contact for PeITnittin <br /> TTT'T-1T7_L.. - "'ITT" <br /> Owners Name ^/ -4L 115�C_ Own:,-Ph..Number <br /> Owner's Address Q V,^� Oop Owner Phone Number <br /> Fee Simple Titleholder Name I MIA Owner Phone Number <br /> Fee Simple Titleholder Address <br /> d08 ADDRESS eh1l� �L LOT a <br /> s SUBDIVISION I!�C,L,VA4SL G OQ&S PARCEL ID# akf pL` M30—01ONX)o— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK ( re Mb S Vcd <br /> BUILDING SIZE D X SO FOOTAGE HEIGHT <br /> i <br /> /> BUILDING S ^GI —QO.W VALUATION OF TOTAL CONSTRUCTION <br /> I ELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION tr IL?6 <br /> C 2, <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY w0_A6Y MAID r O^ e% <br /> SIGNATURE REGISTERED I LYJ N FEE CURREA I Y/ <br /> Address S 3 License# r Q <br /> ELECTRICI / COMPANY r ' ICLri eGh�L <br /> SIGNATURE REGISTERED Y/N FEE CURREn I Y/N <br /> Address a 3 Sa3 License_# tC bb <br /> PLUMBER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA YIN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIt11t1t1111111tIt11111011i1111111111111111111111111111 <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 wl 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 H shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />