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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 ( 813 ) L? 79t& <br /> Owner's Name Gl T of u PH ym I L,v Owner Phone Number <br /> 5335 Owner's Address J ST" I,i'ZEPNyiZ&LGT,JCL 33Syt Owner Phone Number <br /> Fee Simple Titleholder Name G 1 T oC iJAqYJ?RJ1_LrOwner Phone Number <br /> Fee Simple Titleholder Address 5335. 8'".r+; 2,'P14Y914ILLf, FL 335'12- <br /> JOB ADDRESS 53.3 s 8TH1 S 5338 7?H IT• �)rP�l y RH+LLS ICL 33s LOT# <br /> 1l-Z�-21-00lD-13HOu- aolu Ti-2(o-Yl-Dale-ISjOo ao/0 <br /> SUBDIVISION PARCEL ID# +1-Lb-21.0aro-I YO-0200 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONST ADD/ALT = SIGN ® DEMOLISH <br /> B 1 STAL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER I M UJVI G/ 4 L <br /> TYPE OF CONSTRUCTION = BLOCK © FRAME = TEEL <br /> DESCRIPTION OF WORK IV 6W C 17y N L.L 0 PAtz/4,�G <br /> BUILDING SIZE �l$!$`+t 1`1J'7� SO FOOTAGE �9i lOZ2 _ HEIGHT <br /> EZTBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL s AMP SERVICE 1000 P = PROGRESS ENERGY = W.R.E.C. <br /> EZ�PLUMBING S <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ® ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 88•7 S FLOOD ZONE AREA DYES NO <br /> BUILDER /n/ COMPANY A-a- A11,1X(1N GoQP• <br /> SIGNATURE / \ REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 716 N• PL.'TAIWPA Fi 33(oa9 License# LAC �Iy <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 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <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(W)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. (AIC 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 />