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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name UO W U r. J ZS EViq p Owner Phone Number O 1.3-5Ao -0 7 0S <br /> Owner's Address c3 103 Owner Phone Number <br /> Fee Simple7itleholder Name Cr JIw+M` �eCri� Owner Phone umber <br /> Fee Simple,TitleholderAddress 6030 iq EL <br /> JOB ADDRESS 33 a k C S E 0? fLab & Z-0 0 E LOT# <br /> SUBDIVISION a d d cio x I v E PARCEL ID# oq `J (o -oZ/ ^OI 00 - oo0 00- 7l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN = = DEMOLISH <br /> INSTALL REPAIR- <br /> PROPOSED USE = SFR Q Comm = OTHER I x" / <br /> TYPE OF CONSTRUCTION De BLOCK = FRAME = STEEL 0 <br /> ii <br /> DESCRIPTION OF WORK STW It Jy& fC-Et Of, CQ foo+ PVc 5evIC-e <br /> `BUILDING SIZE SQ FOOTAGE HEIGHT (� , <br /> =B,UILDING $ ^ 9 f-1`OO VALUATION OF TOTAL CONSTRUCTION <br /> =,ELECTRICAL $ p+' 1 AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PPLUMBING $ L / <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> C <br /> =GAS = ROOFING = SPECIALTY = OTHER �\ <br /> FINISHED:FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO7 <br /> ()�� <br /> BUILDER]; COMPANY ECOO>� y1Gt, (`�! <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> ), <br /> Address 30 S)9c�1 T t ,.x License# <br /> ` I - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN Y/N <br /> 4' <br /> Address License# <br /> PLUMBER: AN <br /> SIGNATURE REGISTERED` Y/ N�-- FEE CURRE, Y/N' <br /> Address License# <br /> MECHANICAL COMPANY" <br /> SIGNATURE 'REGISTERED Y./ N FEE CURREN <br /> Address License# <br /> OTHER„, COMPANY _ <br /> SIGNATURE. REGISTERED Y/. N FEE CURREN_ Y/N <br /> Address License# <br /> RESIDENTIAL Attach:(2),PIot,Rlans;(2);sets:of Building Plans;(1),set of E <br /> m' 'r nergy Forms;R=0=1N.Permit for new.construction, <br /> Minii ten`(10)wirorking days after -Required onsite,Construction Plans;StormwaterPlans w/-Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsnarge 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 /> 'Minimuni-ten(,1l))working days after..submittal,date...Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail 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 /> --------------- <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 /> " Agenti(for the contractor)-or Power-of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER;.THE:000NTER•-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 />