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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 <br /> Date Received 4 3Phone Contact for Permitting �J - S3" <br /> Owner s Name !� S -yO/w'ner Phone Number <br /> Owner's Address 3Y33 �/ic✓ ZLiI K 'fir Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 Fi%o/a `/(r I� L��J 7 v LOT# <br /> SUBDIVISION LL r U I PARCEL ID# 7`�&-.2 I - 06) `a'bV `-;W <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK / 0 FRAME �` = STEEL Q / _/ <br /> DESCRIPTION OF WORK d/r JC/e� $i1 la6w ��dlf CJ(iE✓ Leh/S�/ ,S-"eC <br /> BUILDING SIZE SQ FOOTAGE Ot HEIGHT <br /> TYTr1�r�Pt�P'1••1•`ITTPIrI.9Yf TI•TTITI"1••I1••Pimr-r-r-r-T-1'9�IT�RTPTT�ITI••ITITIT�Pr�TITIT� <br /> IILDING $a7 VALUATION OF TOTAL CONSTRUCTION <br /> E]2t LECTRICAL $4 000.0 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PPLLUMBINGiO <br /> =T ECHANICAL $ b�� VALUATION OF MECHANICALL INSTALLATION=GASROOFING 0 SPECIALTY = OTHERFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N ,n0t,CA' <br /> BUILDER <br /> t��•.--�._.-�-.-.-.E*�t . . . . <br /> •�fOMPAN�Z•HJ .�i.�rl-�pT.--��-�T;• er..S <br /> SIGNATURE /REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address /rJL ''�/�1vJ License# .LG(a SY l83 <br /> ELECTRICIAN /C� _ 1 / f r�� '756OMPANY <br /> SIGNATURE L64 REGISTERED Yt/ N FEE CURREN Y/N <br /> Address �.0 02S 1 C eys ( /� Jr 33�c�-1 License# I JEC 13QDa 37 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address r f License# <br /> MECHANICAL �_--r�l / COMPANY �L I S �G <br /> SIGNATURE �iLL� REGISTERED I Y/ N FEE CURREN YY(/N <br /> C <br /> Address License# G i Q <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111IIIIIIIIIIIIIIIIIIII <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,Stonnwater Plans w/Slit Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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,Stonnwater 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 /> -i-!,4 4 1••1m1--6-f-I--4-f-a-d-1 I-6-i-1-I I-1-1•-1-i-1-f-1--1-1-1�-1-{-1-3-1-F-+-f-b�t�6-{-{-f-i-4-1-1-1••I-1�-!-1-�I I-i-4-I�l L <br /> Directions: <br /> FlII 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 Altomey(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 /> Driveway's-Nol'over Counter if on public roadways..needs ROW <br />