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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ;� —21 - j 9 Phone Contact for Permitting `�( 52(o — S�31 <br /> Owner's Name veS� �ow�.v p�. Lt_C Owner Phone Number <br /> Owner's Address 7'1 4,% C.-.<< itvd. -JIS L 31yLf I Owner Phone Number <br /> Fee Simple Titleholder Name r.l d Owner Phone Number <br /> Fee Simple Titleholder Address K/A <br /> JOB ADDRESS 7 14$ C-,o—tl LOT# <br /> SUBDIVISION PARCEL ID# :3S- ZS--21 ^ 001 D -d$$as -aooa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER s-inr rock &,s l ro-L+`4 4s L- <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK tvAS411 o rvwuv�� �chl-e.r`�, 14 Yflv)2 Go►��vol lo� � r"10 �(AC� h <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> ®BUILDING $ VALUATION OF TOTAL CONSTRUCTION I sjDda <br /> ELECTRICAL $ 5/ O b AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> U <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER-1 AA ' r l�hh I COMPANY <br /> SIGNATURE REGISTERED N FEE CURREN /N <br /> Address Zb1l Me- C.r. <I-. `�j-d.,��,, �G �� License# GC' <br /> ELECTRICIAN �. AK J'�%PANY 4ke s Sotv�;r,k-S k, <br /> SIGNATURE REGISTERED / N FEE CURREN L12 N <br /> Address 'ZoII 58 �� Gr, . :Zi '�L3 3 License# <br /> PLUMBER COMPANY —71 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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 Commencernent_is•required::,(A/C upgrades over$7500) <br /> " Agent(for the contractor)or PowerofAttofr)ey'(for the,ownec)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING;:`+'% .(Copy;of,.contract;rep dire <br /> 7) <br /> Reroofs if shingles Sewers -;,�Si3rvice'UpgFad'es]A%C:: Fences(Plot/Survey/Footage) <br /> " ,.{.; .•,;,;,,;,,,,,,,;;,•;..: � ;�,,•,.mod:,..... <br /> Driveways-Not over`:Cbunterif on"public roadways..needs ROW <br />