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Y � , <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-B13-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> rrr rr� } <br /> ZeA <br /> Owners Name ler� Owner Phone Number GQX —ly <br /> Owner's Address i($j3/ 1 JLc$�W 7t 4/�.c E 13R,�,l/ � T/c Owner Phone Number F7 I <br /> Fee.Simple Titleholder Name Owner Phono Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ilacoa . Z_ LOT# F____1 <br /> SUBDIVISION. F__ i^� PARCEL ID# fad <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM LJ OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF WORK A 0 <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> . Pri-rr*�`m'-r-r�ri�rrr.rrrrr.rr-rr�rrr->r-i=rr`^t'�.rmrY-r-n>i-i-rr* <br /> -r�r-t-r-R-rrrrr-t=t-rri-r-rhr <br /> =BUILDING I$— VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUM6{NG <br /> MECHANICAL $ J VALUATION OF MECHANICAL INSTALLATION . <br /> ��.�.. <br /> =GAS = ROOFING Q SPECIALTY L�J OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> 1.4 l.44-114-1-Nil-I:1-1-i.1-4.ttiF.l�.i�w.i�t.. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N PEE CURREN Y I N <br /> Address License# 1� <br /> ELECTRICIAN- -COMPANY <br /> SIGNATURE ( i REGISTERED j. Y/ N PEE CURREN I Y I N <br /> Address License lf I ^� <br /> PLUMBER COMPANY / <br /> SIGNATURE REGISTERED I Y I N FEE CURREN' "YIN.J <br /> Address License# <br /> MECHANICAL COMPANY �t li�1 a rceS - - <br /> SIGNATURE" REGISTERED Y/ N FEE CURREp / <br /> Address i o' v License# ewe- ���7Ff,,/ <br /> OTHER COMPANY <br /> SIGNATURE I Y/ N I FEE CURREN Y/N <br /> Address License# �. <br /> littltlilliittitttttiltitililllltFliiilliit1l11iliiiitliili / IIIt1ii <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(16)working days after submittal date. Required onsite,Construction Plans,"Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler;Site Work Permit for subdlvisionsllarge 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 /> ..{'1-i�1-{.i�{-.i..F-'�` .T'�..1-1..'-}.�-1�:-.-:-:.e-Ems,..-r•..-.�I.-i..i�.�y�r<i-' .-.-s-re�I.a�t�:-:�:-S-C�-S� <br /> Directions: <br /> FBI out application completely. <br /> Owner&Contractor sign back of application,Oolarized <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 /> Reroots If shingles Sewers Service Upgrades A/C Fences(PloUSurvep/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />