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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 ��✓ A 7 - to qq 7 <br /> Owner's Name i I�"`D I N I �Lo Owner Phone Number 3-Qq 7 <br /> Owner's Address 3 )1ASPF. GI T%(' I'1► 33S7Z5 Owner Phone Number <br /> GGA 1 N[?VgT'R`e 1 NG <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple•TitleholderAddress ) 50l O F ryy y. -u®` + ?J64'Dfi,:-- C4-ry , L 335 25 <br /> JOBADDRESS 542- COP<LL- {gaLV D ' ZFIPP1-4% R_" I- f LOT# C� <br /> SUBDIVISION PARCEL ID# _2'P-2-1 -00(0 "0$R 00 - 0 7-90 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR PEPAIR <br /> ALT = SIGN = = DEMOLISH <br /> INSTALL <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION - ERr_ BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK -$�o�- 1�'�� t� <br /> /pp I Tic <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> 44+14. <br /> =BUILDING �5 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER 267i-7 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO _ram <br /> BUILDER COMPANY RJ C *A_9-9 <br /> SIGNATURE ' REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# C&G Q&0D%4 <br /> ELECTRICIAN 'L� JCOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 0(o US 30 License# G(!, 300 30 66 <br /> PLUMBER' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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(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 />