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813-78M020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> f <br /> Data Received t� 83 Phone Contact for Permittln$ 213 1'7!q-7 - OLo <br /> _I_TT.I""1.1-T1 / d � )rr/'rr�'rrrr �{ 'Y� <br /> Owner's Name C- 1. 9 6..LC owner Phone Number ( 1' ` ; ---66 <br /> Owners Address Owner-Phone Number <br /> Fee Simple Titleholder Name ,; Owner Phone Number <br /> Fee Simple Titleholder Address Q �{ <br /> JOB ADDRESS MOD Dulawy INOac LOT# �/ I <br /> sueDlvlsloN C (x1Y�5 q 6RCEL iDli p -�'_dry()-' a� - U ^ (�O fl-UCH <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK <br /> = FRAME = STEEL 1 lQ ,� <br /> DESCRIPTION OF WORK 11 v W1 �t�(� C�' l A �� � W ice'� eVCC►r 1 C OR& )( 601 MnCre-k <br /> BUILDING SIZE SO FOOTAGE= HEIGHT 1 -- ", <br /> F-VIBUILDING S/1 VALUATION OF TOTAL CONSTRUCTION <br /> C�/LECTRICAL S of O� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> In <br /> =PLUMBING s Ot=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY ( <br /> SIGNATURE I REGISTERED I W N FEE CURRIM- Y/N <br /> Address i tr GP 2 ,Ylc, 1 �C i icense# 30 lO ' 3-3 <br /> ELECTRICIAN CfSPANY <br /> SIGNATURE REGISTERED LYON EECURRa I Y/N r� <br /> Address - r�� License 3 dl� J 0 �l <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> I I l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t I 1 1 1 t I t I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 <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 dale, Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivision0arge 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 dale. 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 if shingles Sowers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivoways-Not over Counter if on public roadways..needs ROW <br />