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813-78"020 City of Zephyrhills Permit Application Fax-813480-0021 <br /> Building Department . <br /> Date Received Phone Contact for Permitting <br /> Owner's Name J'r` �> owner Phone Number _ <br /> Owner's Address 7O� 011 JSIVd ZiMU 15 I .,"6r Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / / - <br /> JOB ADDRESS 7352 Cir j jVC} Y S. 1 C LOT# C� <br /> SUBDMSiON —� PARCELIDI. �7'- 25-ZI-'060 (2)sCd-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGNQ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION [ pp BLOCK = FRAME STEEL = _ <br /> DESCRIPTION OF WORK �r_ �C <br /> BUILDiNG SiZE SQ FOOTAGE HEIGHT <br /> t(}l/L---IBUtLDiNG' '75,, j 0 VALUATION OF TOTAL CONSTRUCTION <br /> } ELECTRICAL $ n o� AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> J7C$� ' [�PLUMBENG� <br /> =M ECHANICALL [5 ! VALUATION OF MECHANICAL INSTALLATION <br /> ATION <br /> =GAS = ROOFING Q SPECIALTY U OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER `t � '' COMPANYFEE <br /> C <br /> SIGNATURE REGISTERED <br /> (,,�, YIN- cuRREn t^�Y�I=.NN <br /> Address L4' -Wit) - ( - Ci i�.`D �f License# <br /> SIGNATURE D ELECTRICIAN COMPANY L�jT <br /> REGISTERE Y 1-N E CURREN Y/N <br /> Address 1414 t 1 I Q{_Q_}Y CI apc/ License# 1-J <br /> PLUMBER ! COMPANY <br /> SIGNATURE ) REGISTERED YIN FEE CUnREA Y I N <br /> Address License# - l <br /> MECHANICAL COMPANY <br /> SIGNATURE ( REGISTERED I Y/N FIE cuRREP, <br /> Address License# <br /> OTHER COMPANY -- - <br /> SiGNATURE REGISTERED I Y/ N FEE CURRE), Y/N <br /> Address License# <br /> ttTttt [ [ t [ [ t # tti [ [ ITIiiTIiliiII / Iti # t # IIIIIIIIIIIIIiItitlltTll # ItTli <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)vmrlting days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Sill Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach(3)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 alter submittal date. Required onsite•Construction Plans,Stommwater Plans wl 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. 11 <br /> "*PROPERTY SURVEY required for all'NEW construction. <br /> Directions: i <br /> Fill out application completely. <br /> Owner&Contractor sign back of application•notarized <br /> if over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the Amer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sowers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> i <br /> Driveways-Not over Counter if on public readways..nceds ROW <br />