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813.78MO20 (� City of Zephyrhills Permit Application Fax-813-780-o021 <br /> } ( Building Department <br /> Date Received !/ ( Phone Contact for Permitting <br /> -9-9- <br /> Owner's Name Owner Phone Number <br /> Owner's Address /I 1 r1 51{L` 7 owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address `,) J C�J <br /> JOB ADDRESS Qi1{ U LCi 1'NI�� '3 3 J"/ Z LOT O <br /> SUBDIVISION PARCEL ID# I O " 2l-d 0 Z - 00000— GI D 0 <br /> (OBTAINED FROG?PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR® ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q I'BLOCK = FRAME STEEL = <br /> DESCRIPTION OF WORK fA5TIa tee, j1Aim,// is 9 va I �n7 tjn-,k e�t✓A�/0� <br /> BUILDING SIZE G, SO FOOTAGE '147.I HEIGHT F, / <br /> =BUILDING s O VALUATION OF TOTAL CONSTRUCTION <br /> =F,LFCTRICAL s S� AMP SERVICE = PROGRESS ENERGY = W.R.F..C. <br /> =PLUMBING s T n <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION v v <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �/ 9 <br /> BUILDER_ q,0 D°' COMPANY O <br /> SIGNATURE REGISTERED Y N FEE CURREN L11 <br /> N <br /> Address q I d 110vre d License <br /> ELECTRICIAN /L` �[� COMPANY <br /> SIGNATURE I•WY REGISTERED r �-YY N FEE CURREN Y!N <br /> Address SLID vrttV i e (i S 4 �'I Licensed i-zv W3 SS 1 r' <br /> PLUMBER COMPANY <br /> SIGNATURE 1Y/N FEE CURRFr YIN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> 19111111I1lIIIIIAA111111111 / 111111111lIIIIIIIIIIIII11111111111A11l1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)wodh;ing days after submittal date. Required onsite,Construction Plans,StDmmrater Plans+.vr Silt Fence instated, <br /> Sanitary Facilities&1 dumpster,Site We*Permit for subdivislons/iarge projects <br /> COMMERCIAL Attach(3)complete sets of Budding Plans plus a Life Safety Page;(1)sot of Energy Fors.R-O-W Permit for new construction. <br /> Minimum ten(10)wo;ldmg days after submittal date. Required onsite,Construction Plans,Stomtwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perri 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 cantractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner outhorhdng same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sowers SerAco Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />