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813-780-0020 City of Zephyrhills Permit Application Fax-8.13-780-0021 <br /> Building Department <br /> Date'Recelved Phone Contact for Permitting F( ),2, <br /> Owner's Name fig Q.rqmc" RVI-T—iiiCAL0 1-ty� Owner Phone Number <br /> Owner's Address C -760 Owner Phone Number <br /> Fee Simple.Titleholder Name 1Ai Owner Phone Number 101'93S7_ -6q'No I <br /> Fee Simold1itleholder Address Gi GjCc. t b koJi JW?rb�FL- --1 48 3 Q <br /> JOB ADDRESS fT LOT# <br /> SUBDIVISION 1 -3010-7 PARCEL ID#16 7- Z. —0 Of 1) 0D (7) <br /> (OBTAINED FROM PROPERTY TAX NO ICE) <br /> WORK PROPOSED NEW CONSTR M AbD/ALT EE�f SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK FRAME � 'STEEL <br /> IF gc,PL, C, M lFc q%j DESCRIPTION OF WORK <br /> -BUILDING,'SIZE r SQ FOOTAGE HEIGHT <br /> EpIBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> [2� 32 GoonAMP SERVICE PROGRESS W.R.E.C.LECTRICAL <br /> =P,.LUMBING 1$ <br /> EEMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =G'AS Q ROOFING- 0 SPECIALTY OTHER <br /> - , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES F No <br /> I.........Hill! ........ <br /> ........ ...... ... ... <br /> .......... HHHHHIIIHIIH <br /> COMPANY OMPANY <br /> SIGNATURE REGISTERED Y 1 N . FEE CURREN <br /> Address 61- 3 3tl� License# <br /> -'ELECTRICIAN <br /> COMPANY <br /> SIGNATURE REGISTERED <br /> Y1 N FEECURR.EN' LKLN�j <br /> Address, License'# <br /> PLUMBEkf COMPANY <br /> SIGNATURE REGISTERED 1 ,Y/ N­l FEE-CU! <br /> RREN <br /> Address -License#' F <br /> MECHANICAL COMPANY, <br /> SIGNATUAE-. : REGISTERED Y/ IN FEE CURREN L-Y_IN <br /> Address - License <br /> OTHER • -COMPA <br /> NY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ....................... <br /> ....... Hill <br /> RESIDENTIAL Aftacfi,(2)'0jot Plans;.(2�sets of building Plans;(1)set of Energy Fo' s;Rw6-W.P6rrnit fo n6im,constructiori— - 1,6)working" ! . . . rgy Forms; - 17.1-date. Reqt)ired"ohisite,Construction-Plans;Stormwater'Plan'WiSilt Fence installed, <br /> Minimum ,days aftbiStIbmittal <br /> Sanitary Facilities&I 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 submiffai'date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary-Facilities&i dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of...Engineered <br /> ad Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> ........... <br /> biieaio,n,s: <br /> Fill.out application completely. <br /> OWneT&'Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent*(for'the contractor):or Power of Attomeyffor the owner)would be someone with notarized letter from owner authorizing same <br /> °OYEFCTTHE-,COUNTER PERMIT-TING (copy of contract required) <br /> Re roofs:if.shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />