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813-780-0020 City of Zephyrhills Permit Application Fax 813-78"021 <br /> Building Department <br /> Data Received 2- <br /> Phone Contact for Permittinn If <br /> Owners Name (YLA Owner Phone Number C?Ll 11t -21 <br /> Owner's Address Qlf r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 4 —fccry �)r LOT# <br /> SUBDIVISION PARCEL lo# 2J:5 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL Qf <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE t7SQ FOOTAGE= HEIGHT E= <br /> "T1rT1r1r11-r1r1 I . . . . . . I -rr <br /> =BUILDING 12 s261 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESSENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION 1111 <br /> t <br /> =GAS ROOFING Q SPECIALTY = OTHER p <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 0(- <br /> 1 11 11 1 1 11 11 11 ' 11-6-114 6.4 && <br /> BUILDER PANY <br /> SIGNATURE REGISTERED I(YZN FEECURREN IN I <br /> Address License#1=-C%S3J3q <br /> ELECTRICIAN COMPANY <br /> S = <br /> IGNATURE REGISTERED YIN FEE CURRFA F <br /> Address 1 License If <br /> PLUMBER <br /> SIGNATURE REGISTERED I Y/N I FeEcuRREN <br /> • Address License#F <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN N <br /> Address I License <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEECURREN LILN_J <br /> Address Llcense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans-,(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)warldrig days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl SRI Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfrourn ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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 - 1 . . . . . . . . . . . . . . . . . . . . . . . . 1 . 1 . . . . . . . <br /> Direct <br /> FBI out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AfC: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 (Front of Application Only) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />