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T, 813-78043020 City of Zephyrhills Permit Application Fax-81a-780-0021 <br /> Building Department o z -Date Received Mom Contact for PermiUing ( 3/ ) 7 �b l <br /> Owner's Name 7K8 a d G&15 rjbn rk A Owner Phone Number <br /> Owners Address / W ;ie Av. J owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address J^ <br /> JOB ADDRESS 4 aC L� /l l�L++��'.,���r�� LOT# C� <br /> SUBDNISION PARCEL ID# 16 oC/f D d 3�d DD/� <br /> --// (ourAwED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSM ADDIALT =] SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME y= STEEL <br /> DESCRIPTION OF WORK C d /AN C► / T <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is <br /> 1ECHANICAL $ F��y+ VALUATION OF MECHANICAL INSTALLATION <br /> =G.AS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE1, I Y/N <br /> Address License# <br /> MECHANICAL ` COMPANY <br /> SIGNATURE I w / i REGISTERED YIN FEE CumEr, I YIN <br /> Address /Y�G'A) � License# 46'0 39 4 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdvisions/iarpe projects <br /> COMMERCIAL Attach(2)complete sets of 8uIldum Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Per tt for new construction. <br /> Minimum ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Fac3fities&1 dumpster Site Work Permd for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plains. <br /> PROPERTY SURVEY required for all NEW construction. <br /> D'ueetionns: <br /> Fill out application completely. <br /> Owner&Contractor sign bad(of application,notarized <br /> K over$25M,a Notice of Commencemennt is required. (AfC upgrades over$7500) <br /> Agent(for the contractor)or Power of AtlDmey.(f�tlt"er)would be someone with notarized lettei from owner authorizing same., <br /> OVER THE COUNTER PERMITTING (copy of cortraot required) <br /> Reroofs if shingles Sewers S.M.Upgrades A/C Fences(PloUSurvey/Footage) <br /> Driveways-Not aver Counter"nf,on public roadNr*:.needs ROW <br />