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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 <br /> Owner's Name Owner Phone Number �� " $ �- 2g�0 <br /> Owner's Address 3 901.9 /Z Z2 A.d(S _ Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple;Titleholder Address <br /> JOB ADDRESS AM 38o1 g le Ave 9 G,1us R, 3-fS11Z LOT# <br /> SUBDIVISION PARCEL ID# (� 0 — 06�j- O go <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT En SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION t BLOCK //Q FRAME 0 STEEL Q . <br /> DESCRIPTION OF WORK r �aLl 2— b e I Z 90 Sdic r g slewl-f Or, du k/ <br /> BUILDING SIZE SQ FOOTAGE 14R b HEIGHT <br /> 3 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> bar ke <br /> EZIELECTRICAL $ I ©�V. ®� AMP SERVICE = PROGRESS ENERGY 0, W.R.E.C. <br /> i <br /> =PLUMBING $ 2 100,4A4-' ,17L4'eeS <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> ELECTRICIAN r^ 1 /�l� �j �/ ,i/ l (2 COMPANY <br /> �4ke S�m��'' L�ee,{�'L L1� <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address Z3 23 G��i� Kit S&,w 3 L.ea License# <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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(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. (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,-w,-=fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if bn,0 blic roadways::needs ROW, <br />