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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department .- p - <br /> Date Recelved Phone Contact for PermiCing 8 &2 4- - 7G 7G <br /> r <br /> Owners Name /- 7 S� Owner Phone um er <br /> Owners Address WI/ 7� ;9wnr Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �,,r� ` r <br /> JOB ADDRESS &038 'N I7 51-A r LOT -+ <br /> SUBDIVISION I fry` YXLL PARCEL ID# OZ��lo�j��Gl$D-GY�t:Y�'U Za <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q) FRAME = STEEL = <br /> DESCRIPTION OF WORK 96`� / L J��wS -me �jL <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> rrrrre�e-v-rrrrererrrrr-e-�-rare-p-rrerrererrrrrrrrrrrrererc-rrr-rre-rrr-+-rrrr-r <br /> =BUILDING $ OQ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. "� _ <br /> =PLUMBING $ V (/'0 { G?l'{t,'v/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> o6 C./ ` <br /> =GAS = ROOFING 0 SPECIALTY = OTHER t V�JC�nLJ� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1 ,�9 <br /> --�-------��----(`r�i—��.�:_.:�[Gtrk�D <br /> BUILDER COMPANY <br /> SIGNATURE�� REGISTERED Y/ N FEE CURREN Y/N/ Q, <br /> Address AWN X HWV 3-01 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREt Y/N <br /> Address License# <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,Stormwater 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 Forms.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. (A/C 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 />