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813-780-0020 City of Zephyrhills Permit Application Fax-813.780-0021 <br /> Building Department <br /> r <br /> Date Received Phan.Contact for Permittingg — <br /> 1 1 1 1 1 1 1 1 I I I I I <br /> Owner's Name ?Q p &1' Ole e 1��irk` Owner Phone Number �S <br /> Owner's Address V 0 6 6 M o L[7. G'v #et, Owner Phone Number Fee Simple Titleholder Name 'I MVt a r% ay Owner Phone Number O 13 ��O G 5�e_ <br /> Fee Simple Tttleholder Address Q 0 30 Ste`-4 LAIC'(-f- -Dr to cS be r•* 6!r 3 3S9 <br /> c� <br /> JOB ADDRESS 0(op m 6 Lt L-b N L I-G irk r LOT# 7 g <br /> SUBDIVISION H!d ef-' I't vE 9' PARCEL ID# a 'f"�f0 c� I w G 100 00000- ?— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER a •j, LL <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL 0 <br /> DESCRIPTION OF WORK IN SI(ell /vew + ✓O 4im G e 9 e)V-A f <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ A3F. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �03 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER .(j.. COMPANY NCO n O rn NC e- <br /> SIGNATURE �t r REGISTERED Y/ N E CURREN Y/N <br /> Address O�d J�d C--Pre c k License# ITAy -r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LY/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> II11111111111111111111111111111111111111111111111111111111111111111 <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,Stornwater 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 Fortes.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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />