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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q <br /> Date Received ' Z &3 ? — J 3 [� <br /> Phone Cont/act for Permitting <br /> Owner's Name �.s JVd,` 1Z0L(J /Op/ ?� �(fwner Phone Number it 7 <br /> Owner's Address d(O�s ALIA4 i�ij�`y !� d- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address '/� <br /> JOB ADDRESS d(O� (� o�l�A S� �7L� Z k1 t rC 3s v- 3�� `` L�OTT#�y/�b��� <br /> SUBDIVISION /�' PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK S4-a �C �CO3 <br /> BUILDING SIZE r'�"� SQ FOOTAGE 3771 <br /> HEIGHT <br /> TrP4P'�PP�Tr'PPPT-r"4�t°�i ITrP`!'"t"7�P9TPP'TIYIIYIYPr9�1"/��P'T'Pr�P'r'TI"TPv'T�1'r P�T'19�� <br /> =BUILDING $'4V 6 \ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ L� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOG ONE AREA =YES NO <br /> BUILDER COMPANY u If2/o u W_ <br /> SIGNATURE 7 REGISTERED Y/ N FEE CURREN Y/N /� I <br /> Address �s/ �T�C./ /u ?A,A 33 y d-' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> IIIIIIIIIl11I11111I1I11I1111111I1II111111I111I11111I1I111t1llilltll <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 subdivisionsf arge 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,Stonmwater 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 /> 64-1� <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.,., .Sewers -„ Service Upgrades'A/C"' Fences(Plot/Survey/Footage) - <br /> Driveways-Not over Counter if'on public roadways..needs ROW - _ <br />