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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact'for Permitting <br /> Owner's Name r G K Owner Phone Number <br /> Owner's Address J 5 lei Z I�. k� 1 7 Z---Owiner Phone Number <br /> Fee Simple;Titlehoider Name eVde_ I�•�6 ( /'�,i Owner Phone Number' <br /> Fee Simple Titleholder Addc®ss 3W� J ��II. s, <br /> JOB ADDRESS JIKI O A ^�Ave, 7P I G -4 LOT# <br /> SUBDIVISION PARCEL ID#. <br /> (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8. ADD/ALT SIGN = DEMOLISH <br /> INSTALL 'REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPSOF C®NSTRUCTION' 0 . BLOCK - 0 'FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> -BUILDMItIG SIZE �nb SQ FOOTAGE 2 HEIGHT <br /> BUILDING $ IJLJ VALUATION'OF TOTAL CONSTRUCTION <br /> cz <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> ' .4/A✓/mac-4� <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY. = OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NOL <br /> .BUILDER COMPANY P <br /> SIGNATURE REGISTERED I Y'/ N FEE CURRE,N I• Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N • FEE CURREN <br /> Address - License# <br /> P.LUMWBER. , COMPANY , <br /> SIGNATURE REGISTERED I Y.•/ N. tj .FEE CURREN Y/N <br /> Address License#: <br /> MECHANICAL` COMPANY. <br /> -SIGNATURE"'_ REGISTERED •Y/ N FEE CURREN. Y/N <br /> Addr®gs' License.# <br /> 0 HER;. :`:rz COMPANY <br /> SIGNATURE-„: :`.r REGISTERED Y/.N FEE CURREK <br /> Address;:. License# <br /> .,RESIDENTIAL ,::-Attach(2)�Plot P.lans�(2)`set's:of Building flans;(1 j set of EnergyForms;R;Oz JJV Permit for new.construction,. <br /> Mnimumtten;,(,10)_.working;days.afte�sutimittandate.:Required`onsite;Construction Plans,'Storrrii`atir-01 ' s.w/SI enceinstalled, <br /> Sanitaryfacilities;&1,..dumpster;•Sife,:Work:Permit forsubdivlsionsllarge;projects':,. <br /> `.,COtWINERCiAL Atta6h>(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 f&r all:new:projects.All commercial requirements must meet compliance <br /> SIGN"PERMIT Attaofi'°( j"sets of Engineered;:Flans;;i....:•: .• j;,;o <br /> ""PROPERTY SURVEY`required-for.alLNEW.construction,- <br /> ---------------- <br /> Directions: <br /> Fill obt�application completely. <br /> Owner&Contractor sign:back.of application,notarized <br /> if over;$2500;a Notice.of:Commencement is required. (A/C upgrades`.over$O) <br /> Agent'(for,ttie'--contractor)rorPower of'Aftomey(for the owner)-would'be someone with notarized letter from owner authorizing same ' <br /> %OVER;T.HE COUNTER�P..,ERMII7_ING., (copy.of contract,required) <br /> Rergofs if shingles Sewers Service Upgrades A/C Fences(PIot1Survey/Footage) <br /> Driveways-Not over Counter If on public roadways::needs'ROW <br /> I <br />