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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ol <br /> / $� 71�_ aol 7 <br /> Phone Contact for Permitting . <br /> Owner's Name —IDA&S 5Ajinlz Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS SI CJl r u,,f - O� �-a'r LOT# <br /> SUBDIVISION F PARCEL ID# �a6 A���Qt��f7 �010 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR' ADD/ALT = SIGN 0 = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE:OF CONSTRUCTION = BLOCK /Q `FRAME � .STEEL <br /> DESCRIPTION OF WORK �N�l'a�� �J�7 l. cY�k ®I!Y/�✓li !6 /Zq7/45�a�/f9G � i1Gls rl!/1'-��p�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ ll,^� VALUATION'OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =,GAS ROOFING = SPECIALTY = OTHER Q <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �r' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> Address -License# <br /> ELECTRI.0IAN J. COMPANY . <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> P.LUMBER;. , COMPANY- . <br /> SIGNATURE REGISTERED Y/-N FEE CURRIEh Ljj N <br /> Address License#`.- <br /> MECHANICAL COMPANY <br /> ..SIGNATURE!" . "' REGISTERED. j Y/ N FEE CURREN', <br /> Address License.# . <br /> .'OTHER1 '"'.`: COMPANY T/.0L'I--6&aw��`� l•[JG <br /> SIGNATURE .>.;._' REGISTERED Y/ N FEE CURREK Y/N <br /> Address_` aG. . � t-I-�J� i�.�(S' 33S License# �' �oY93 70 - <br /> �%:_ <br /> RESIDENTIAL Attach=(2)lPlot'P.lans;!(2):'sefs of'Building Rli ns;(1)'set of-Energy,Forms;R;O;VU.Perrrlit,for new construction, <br /> K; Mjnlmum tem(;10)working.days after submittal=date.'Required'onsite;Construction Plans;Stormwater Plans w/Silt Fence Installed,. <br /> Sanitary-,Facilities-,88r 1tdumpster;Site;Work Permit forsubdi4isioos/large`p�ojects .: ` <br /> COMMERCIAL Attacli'(2)'complete'sets'of Bulldirig`Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pemiif fornew 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 fidtr -new projects.All commercial-requirements must meet compliance <br /> PERMIT Attach(2)`sets:of;Engirieered:.Plans. — — <br /> _ __'P_ROPERTY SURVEY`required for_aILNE,W..construction.. <br /> ;Dl�ectlons: <br /> -`Fill bUt-application completely. <br /> ;Owner&Contractor sign back'of application,notarized <br /> 'y- -if over$2500i a Notic-Wof:Commencement is required. (A/C upgrades over$7500) <br /> "• -Agent(for the-contractor)°or,Power of'Attomey(forthe owner)would be someone with notarized letter from owner authorizing same <br /> OVER-.THEc000NTER PERMITTING.. ...._ .(spy of.contract.required) ` <br /> Reioofs if shingles Sewers• :;SerNicedJpgra'des=VQ. ;' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on;public`6.4a iw4s?.need'"i�Q, <br /> 6{Qt•"�•i,r?i,9s•`.`ti?•:i;;i3'i wd}l+�li hri...'.. .., "w. ... //h• <br /> - v'e W'_ ... :--erg':�•. _ / <br />