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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-W21 <br /> Building Department �7p �L. <br /> ' Data Received Phone Contact for Permitting ( �/3) /O 2 — 60`� <br /> Owners Name /-r #Z a Owner Phone Number O l — .20 1-77 <br /> 11 <br /> Owners Address 7/0 ."Alen Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number. <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f/0 v '�` �2 LOT# <br /> SUBDMSION CGIA�o r rAk/d r 4 A)PARCEL ID# /s' o?(Q a/ 0190 4994060 0 350 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = ST'EEEL- = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREA LXLN <br /> Address'- License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA <br /> Address r License# <br /> MECHANICAL �'w^ COMPANY <br /> SIGNATURE �u!1� REGISTERED Y/ N FEE CURREn Y/N <br /> Address i/q / /leN r !S 3� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIII.IIJlllllltlllllllllllllllllllllltlllllllllll <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 aRersubmittai date. Required onsite,Construction Plans,Storrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,She Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10j working days after submittal data. Required onsite,Construction Plans,Storrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> a <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 authoitzing same <br /> OVER THE COUNTER PERMITTING (copy of'contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)' <br /> Driven rays-Not over Counter if on public roadways.s"cls ROW <br />