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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Ph lone Contact for Permitting <br /> Owner's Name 0 S V A'v- J Owner Phone Number �' < � 2 /s <br /> Owner's Address 50 2 9 M M Y /V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �J <br /> JOB ADDRESS 0 ` / ' L e_/Viq I/- �x y. 1/S �L 33 5 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW <br /> CONSTR eALL REPAIR SIGN 0 = DEMOLISH <br /> INSPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q /B'LOCK Q FRAME 0 STEEL <br /> �q Q <br /> DESCRIPTION OF WORK +�W 14-C a C fl( 1 /N� /`> W B "OCS—A-III e- <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT F_ <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ''� rJ f 'f COMPANY <br /> o © ul�vev <br /> SIGNATURE —J REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address =1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N ) FEE CURREN <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 Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of.Attomey'(forthei 9--her)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING ((cop <br /> Reroofs if shingles Sewers Seniice'U'p'grades A/,C �a':'•F�erices(Plot/Survey/Footage) <br /> Driveways-Not over Counterif,on public roadways..needs ROW <br />