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i <br /> 813-7,80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> /7 Building Department Z <br /> Date Received hone Contact for 9 J G- P Permitt � - Y31 <br /> ��. <br /> Owner's Name L� ul/ �S Owner Phone Num e <br /> Owner's Address �� C�/1/ ae uJ �/�/v I Owner Phone Number 7 -.3 <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 ,,kioYY7 f,� - Ar/ !`� 3/�y N�L0TT# /L® <br /> SUBDIVISION /Z v1;L 4AS PARCEL ID# '.� '.1 I `W 1 U-( .)A - 7 O� 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �nclvse--evi'si«S ea./' ark" far Sa'�S� <br /> BUILDING SIZE Y SQ FOOTAGE HEIGHT <br /> YI-r-r-r T'ITITrPf-P'IT <br /> =BUILDING $�jt� VALUATION OF TOTAL CONSTRUCTION �(�J� <br /> =ELECTRICAL $ V AMP SERVICE Ea— PROGRESkERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION 3 61 <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .. .--. .-.�-. . .-. .-. . . . ..-.--r.... . . .... .... . ... .... .... . .�-•-•--r.-.�-i�t-:--rim-PT..-. .-.-.-.-.- <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ±N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA\ <br /> Address 1 J v License# <br /> i <br /> OTHER t/ _ j J COMPANYlewc <br /> /C/ l� <br /> SIGNATURE Gf/L REGISTERED Y/ N FEE CURREA I Y/N <br /> i <br /> i <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIII <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: _ r <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$75,00) <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 />