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' 813-780-OD20 City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department /_ r� y5-g o C1 <br /> Date Received Z 'i Phone Contact for P +ting t O��' l/ 1 <br /> rr-r rr T rT- T'n`T`T[ / <br /> Owner's Name �ig� /`�i <br /> Owners Address��j} l��L�l� JC�GZ7(�•��,/W Owner Phone Number �07 ��r��Z <br /> Fee Simple Titleholder Name S�'�r� Owner Phone Number -7O <br /> Fee Simple Titleholder Address .'_75 3 S p00ac S'C/ _ s- y� �f <br /> JOB ADDRESS ! �+,pa /✓C �i�✓YI, J �� y .ry/ 35� <br /> SUBDIVISION G(2�'✓� f `!✓PARCEL ID# / O/o®�0-0 W <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTRB ADDIALT �� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER G n+1 <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME g = STEEL 0 <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE r4P SO FOOTAGE A HEIGHT <br /> UILDING $�^ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE en Q PROGRESS <br /> ENNERGY = W.R.E.C, <br /> LUMBING <br /> EC14ANICAL $ ED VALUATION OF MECHANICAL INSTALLATION // 7 <br /> V <br /> =GAS = ROOFING = SPECIALTY L_J OTHER ' (_ _ / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO TeICi'T/ <br /> a / a <br /> BUILDER [_' COMPANY E / CLN Cyrt/siZv�c�el/-9t_ Lt� <br /> SIGNATURE r� --�R-EcisTEaEp YIN�(, FEEctRREn y/y J <br /> Address L O C• I��j�O _ Lice <br /> nse# ��• L�Z����� <br /> ELECTRICIAN M ANY C X C L�IZ�L_1 <br /> SIGNATURE /!�, REGISTERED Y/ N r�FEE CURREf.�+ YIN <br /> Address fi?�Ol7i •-v.S/�Ci� C�C� ` Ucense# Gig%3 % <br /> PLUMBER /�/ �+ COMPANY I ' 4-;i ��1I �!/�T/lJy�, gGt/ <br /> SIGNATURE !/i REGISTER p Y/N FEECURiEA Y/N <br /> Address O (�(Jy1?/J7 ZC1 CrL yt/J <br /> License/# <br /> MECHANICAL COMPANY L [/r//i/-�//' J /� SS �� <br /> SIGNATURE REGISTERED �Y I�N,� FEE CURREA Y/N <br /> Address 0 eo-20 L License# .�L/� <br /> 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED TIN FEE CURREt Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIPIIIitillllllliilllltlttltlll1111111111l1i11 <br /> RESIDENTIAL Attach(2)Plot Pans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomlwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 oumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Flans,Stcrmvater Plans w/Silt Fence installed, <br /> Sanitary FaclPies&1 dumpsler.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(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloVSurveylFootage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />