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813-780-0020 City of Zephyrhills Permit Application Fa"13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for 70 <br /> ........... a4 <br /> Owner's Name Z-lftJ JF Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name 'F I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -7 rl LOT# <br /> SUBDIVISION PARCEL ID# 11-2-C -2,/- 00/0 -e 7- 6/00-,e/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> R INSTALL 8 REPAIR <br /> PROPOSED USE = SFR Q Comm = OTHER I J/&-,VJ 01 J30ty.0 <br /> TYPE OF CONSTRUCTION am' BLOCK F-1 FRAME STEEL <br /> DESCRIPTION-OF WORK 2- N k- I,-#v <br /> 'BUILDING SIZE -IC2 I'X I FO r <br /> Sol FOOTAGE > Z HEIGHT......... ......... <br /> ING <br /> 2- 000- VALUATION OF TOTAL CONSTRUCTION <br /> r400 <br /> =E ECTRI 1$ AMP SERVICE = PROGRESS ENIERGY,,E��.t C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> LIU <br /> =OAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -14 1 1 1 11 1 1 H t!H 6.2 1 R 1 I'll,,"H1111111-i-I 1 1,1 H+ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N. FEE CURREN LILN J <br /> f <br /> Address License# <br /> ,ELECTRICIAN. CO-MPANY <br /> SIGNATURE' REGISTERED I YIN FEE cuRRFA <br /> s. <br /> Address, License#F <br /> PLUMBE141'' COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> i 7-1Address 'Ueen # <br /> MECHANICAL COMPANY <br /> SIGNATURE 'REGISTERED I Y.1 N FEE CURREN <br /> Address :1 License J <br /> OTHER C"rl-'IC 5 e- COMPANY <br /> SIGNATURE REGISTERED I Y?-N FEE CURRFJ, IL/Y N <br /> Address 7011Y. License#, 0.C)o <br /> ............ <br /> RESIDERT11A.I. Attach-(2)Plot.iiians;(2)'sits-of BuIIdIng,PIsps;.(!),set of Energy Forms;R-o'-W-0ermit:for ne'Woonstruct€on,. <br /> rk g Mlrilinuffiieri�`lb}w;o' W'daysafteirs0rn'Ittai'date; Required onsite,'ConStru6tion 131ans'i, <br /> Stormwate?Plansw/tilt Fence installed,.- <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)Complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for now Construction. <br /> Minimum ten(10)working days,after submittal date, Required onsIte,Construction Plans,,ftyrnwater Plans w/'Slit Fence Installed, <br /> Sanitary.Faclliges&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)setsof Engineered Plans. <br /> *—PROPERTY,SURVEY required for all NEW construction. <br /> b irial 10"risi, <br /> Fill out application completely. <br /> Owner&'Contraclar-sigin 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 ofAttomey'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER7H&COUNTER-PERMITTING (copy of contract required) <br /> Retdofisifshingles Sewers Service-Upgaides A/C Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />