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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 7� Phone Contact for Permitting 2 �Z —�936 <br /> Owner's Name q tic G(t LG. '1 Owner Phone Number l 3' 2� ' 7 42 <br /> Owner's Address 52 S f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a,37 S LOT# <br /> SUBDIVISION PARCEL ID# 11' Zb -.2 1 ' OO O• A2,600 ' OcO k <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER a,t�cv- <br /> TYPE OF CONSTRUCTION BLOCK Q . FRAME = STEEL 0 <br /> DESCRIPTION-OF WORK f V �t 1 S <br /> BUILDINGSIZE SQ FOOTAGE= HEIGHT <br /> =B.UILDING $ 7 Q�d VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ ,'1e <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /+ <br /> =GAS E2�OOFING = SPECIALTY = OTHER <br /> FINISHED!iFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER+, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE-, REGISTERED j YJ N:. FEE1CURREI% L-Y/N <br /> Address License# i - <br /> OTHER; z®� COMPANY n t 1vc. S' ^n G . <br /> SIGNATURE REGISTERED Y/ N -FEE CURREN til <br /> G _Q St� ',-�Ch... <br /> V•t.. <br /> Address 6 e7��— 3 3 7:16 License# `e C 13 Z- 3 1 Q <br /> RESIDENTIAL <br /> Mitemum tienot'POIanAs� ^sda Building <br /> ed onsi'_oRtructin-Pin ,S ew.consrPlann,,,. <br /> ( ) g y q tormwater 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: <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 Ferices(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs,k6w,'- <br />