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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 4' <br /> Building Department <br /> Date Received '� Phone Contact for Permitting 913 3)-3 <br /> Owner's Name �� �j/-1 7 ISM (, N�U�C l� Owner Phone Number I L?l3 -761- 250a <br /> Owner's Address ✓ /23S niveri 11 w9j) Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple.Titleholder Address JOB ADDRESS :Y-9 IQ po vK, LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK SIiL(L �>I�Ifs ��( �S1toJs ODk� D/+ 1n. <br /> BUILDING SIZE /OS(p yu jl SQ FOOTAGE JD SRO HEIGHT /2," <br /> BUILDING $ �O)QOa VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ /S coo AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> 1 <br /> =PLUMBING 9 $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY STJ/1/�1 altlCT211Cnon� ENO <br /> SIGNATURE Y/(i+ REGISTERED / N FEE CURREI% Y/N <br /> Address s�'1 ota t C avr l p pLRN7 071 33566 License# C aC Jo?to 01 <br /> EL I N <br /> RE �(� *� /7') COMPANY j <br /> SIGNATU w �/ � REGISTERED Y/ N FEE CURREt, Y/N <br /> t <br /> I AddressF77 License# <br /> y I" BER COMPANY I <br /> Oi <br /> ATURE REGISTERED Y/ N FEE CURREI, Y/N . <br /> Address -- ._ License# _ I` <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 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 Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />