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813-780-0020 City ofZephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �.-�C Phone Contact for Permitting p <br /> Owner s Name LOR+1 DA E j GAL �.t. N 1 Owner Phone Number b - 00� y fl <br /> Owner's Address o Jq F .I If.0 Owner Phone Number <br /> Fee Simple Titleholder Name L O"'IO�AI EQIt,•A V C I-11J\C Owner Phone Number <br /> Fee Simple Titleholder Address 96135 <br /> JOBADDRESS LAdD ^n'RLAa ' %rAot4S VgL9p -ZEP ►�. L S '' LOT# <br /> SUBDIVISION IT PARCEL ID#I E)A"ZIW-7.\_000o'Op{00- 010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR �, COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK V'1 O S-r o R - llr OE S-TA N +tab— M o6 W ITN �Fv"- S, F' L1EVE o P <br /> BUILDING SIZE UJ O STo SQ FOOTAGE HEIGHT <br /> TINT ITIT!-IT 1"ITITI"ITI"ITIT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 3 l00 00o ST�MAT�p� /� <br /> =ELECTRICAL $ AMP SERVICE _ PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ vv I� <br /> IV <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> , r�ype <br /> =GAS = ROOFING Q SPECIALTY = OTHER ' a, <br /> FINISHED FLOOR ELEVATIONS A q •40 A p FLOOD ZONE AREA =YES NO e� <br /> C <br /> _._...T._......�.....r...r...... . . ...rT._..._....._. . ... .... . ... . . ....... ...r - <br /> - WALLAcc <br /> BUILDER C u�QL�C� /1 O ,n COMPANY <br /> SIGNATURE 'r 1 {"T F� REGISTERED Y! N FEE CURREn Y/N <br /> r Addres • tJl�• 1�• .rJb Sf T.�E E F �31 73 License# C_(0C-*-0'z_-WA <br /> ayF <br /> ��Ir (�ECECTRICIAN COMPANY <br /> i w <br /> �/'.�'r SIGNATURE (/ REGISTERED Y/ N FEE CURREt Y/N <br /> �7 L_Address] License# <br /> ' PLUMBER �' COMPANY <br /> l -SIGNATURE A REGISTERED Y/ N FEE CURREN Y/N I <br /> /, Address License# <br /> r�t A .MECHANICAL ; �`, COMPANY <br /> d ](](]( <br /> SIGNATURE �J 1�0' REGISTERED Y/ N FEE CURREt` Y/N f <br /> Il Address License# I� <br /> `OTHER COMPANY f <br /> SIGNATURE <br /> RE REGISTERED Y/ N FEE CURREA Y!N <br /> �_ <br /> —' Address License# <br /> _I I I I I III I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1t1-1_I�I <br /> r RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-0 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 /> II/�Gt f�i 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 Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />