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813-780-0026 City of Zephyrhills Permit A 13-780-0021 <br /> Building Deprttig" <br /> ty <br /> Date Received 3 �' Phone Contact for Per <br /> Owners Name S D A I Owner <br /> Owners Address (e ` �OC'±)Sk ah l Owner Phone Number <br /> Fee Simple Titleholder Name San>D2� �u�rt N Owner Phone Number <br /> Fee Simple Titleholder Address CJ71,C ` S — Zcp k,,f-nJ ,eU 5'14C) <br /> JOB ADDRESS �O 1, ` —1 �L11 l S ( LOT# <br /> SUBDIVISION R �CLL'C PARCEL ID# O Z+ uo 'Z 1 "01Q0—CXnC%:)0' <br /> IL (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ffADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK �ZD - c9r�-t a*! A-0 74-P4L• d2Q hQ MS S <br /> BUILDING SIZE I 32x5 SQ FOOTAGE � HEIGHT g <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION,�,r7'QU' x <br /> LECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ N ^ 4� 'U1 ` <br /> =MECHANICAL $ N^ VALUATION OF MECHANICAL INSTALLATION <br /> K l/ - ,1 / <br /> =GAS ®/•ROOFING Q SPECIALTY 0 OTHER 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES 'No <br /> BUILDER SIGNATURE �-- �' '� � COMPANY <br /> REGISTERED tY//�N � FEE )skCURREN `� <br /> Address 3Ga�3 gf�'S4' 2F1t5 FJ License# CG \Swt <br /> ELECTRICIAN COMPANY �O ter�GJ CKU e / <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 3Ul V 3. License# 1EC J OD 30(0 <br /> PLUMBER 1 /^}► COMPANY <br /> SIGNATURE 1 v ,"• REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL AJ /�- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY i <br /> j�`` �2DC-Q r a -S <br /> SIGNATURE nn ' C_ REGISTERED Y/ N FEE CURREN Y/N <br /> 3 J c� <br /> Address &.4� 2. S� '�r1 r�1 License# CCC 13Zssa J <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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(3)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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ,s <br />