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i etoTaiLV <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e 02� <br /> Building Department <br /> Data Received Phone Contact for P.ermittin g 3. `�G --qR 6 S <br /> i <br /> OwneesName' Il�f{ Owner Phone Number �6(3.-g3$-i1653 <br /> owners Address .3'l S' ! I Pt tJ2 Ov+rierPhorie Number <br /> .. <br /> Fee Simple Titleholder Name Owner�Florle Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37 9-11 I h2 IIS L LOT# <br /> SUBDIVISION. DBi.+n)S to j2:' !ONI FARCELto# 10-16-_�1-�tSOp-pOOE]t� <br /> ' (OaTAINED FROM PROPERTY TAX.NOTICE). <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN =. = DEMOLISH <br /> B INSTALL. 8 REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Qom-nBLOCK Q FRAME STEEL Q �!! <br /> DESCRIPTION OF WORK / �ne-e 7 W 1No�d+.d wn11T5 Si22�Sr ZQ t n) b ORz r q1 FL (!c(rJQ3 Sf.7 <br /> BUILDING SIZE SO FOOTAGE HEIGHT tI—L <br /> . . <br /> E246ILDING VALUATION OF-TOTAL CONSTRUCTION <br /> =ELECTRICAL. $ 7 AMP SERVICE Q PROGRESS ENERGY f_] W.R.E.C. <br /> =PLUMBING $ r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ( ►iv1 <br /> BUILDER DJ1.T.RED <br /> e4 d :esd t46rne: C�vTeR <br /> SIGNATUR . 0 Y/ N FEE CURREN Y/N <br /> Address Po '7S 1993 00-11ANCle, FL License#-Fr- 7 <br /> 32878 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED "Y/N FEE CURREN YIN r- <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N T <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N.T <br /> Address License#:F <br /> 1111111.1111111111-1IIIt111IIIIIIIII11'111111111111'I.III'" 11111A11II111 <br /> RESIDENTIAL. Attach(2)Plot Plans;(2)sets or 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 subdivislonsnarge 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 date. Required onsite;Construction Plans,Stornwater 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 /> ~ L. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Contmencement 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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />