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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department I..__a J1 �/ 0.� &.m <br /> Date Received <br /> Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> t/V`/ <br /> Owner's Name r 7oA r'✓1 I Owner Phone Number <br /> Owner's Address ONe cvV , V 2ivt CV MOVA-'1' d7,,VMJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / IN+I�Y 1 ve LOT# <br /> SUBDIVISION u s PARCEL I D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD( SIGN Q DEMOLISH <br /> INSTALL REPA <br /> PROPOSED USE SFR ® COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOOC.(K�j���,r,0-r7�F_IRAAME SpT/EEELLp�y�� p■� t� ex7v,-I� 1. <br /> DESCRIPTION OF WORK INt�R10(� f'r rl`r/VA't u/N/ +A41NOP V 1 (y�rAVW/✓-0 <br /> BUILDING SIZE to `c/v SQ FOOTAGE +�0�� HEIGHT `At_L9# <br /> BUILDING $ f D/J /1�'�i VALUATION OF TOTAL CONSTRUCTION �Co-17kc/INGl�SITE: I5(�p�- <br /> ,ELECTRICAL $ I�/)�r o`o, AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> 0 0 0 0 R <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> (C��KDf <br /> t i i i t t i i i l i�'r�i�� <br /> BUILDER 'b 9MPANY nG- <br /> SIGNATURE •' REGISTERED Y/ N FEE CUR Et Y/N <br /> Address_. 3� y n 4 License# CSC050,-1 09 <br /> ;EI E�C 1QIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I' <br /> $-Address License# <br /> Iip It- _ — <br /> OM <br /> SJ GNATURE REGISTERED Y/ N FEE CURRE� <br /> L <br /> -Address— License# <br /> MECHANICAL -- z COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> I,=L---Addre"ss` � `' License# �- <br /> COMPANY <br /> 1� GN QT-- REGISTERED Y/',N FEE CURREN Y/N <br /> License# �r <br /> '1'-1'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111I1111111111 1�1 -=--� <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 dote--Required onsite,Construction Plans,-Stormwater Pibns-w/SilfFence iristalled,­ - <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 /> ■ L. <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 />