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813-780-0020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received 2- L EhL,.2 Contact for Permitting ZNX- <br /> -r-r,r-r I I I I L-1-1-11L . . . . . 11. 11 . . . <br /> Owner's Name Y.JA £ 'ERS040 Owner Phone Number 142ix, <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL IDO 2 1-;Z I-oo 10- 91 wo-Q ? <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK I Om IAOLS I P'IsLW5 �1"' 1 191:11, IdAA if-0 de-a 60fe4 <br /> BUILDINGSIZE Ct4 l _ ] SO FOOTAGEF-6-007 HEIGHT JO&C tJ Afkk <br /> A5,9 <br /> DING <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 1,7 <br /> $ <br /> I - <br /> 1- 96f? ] VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.G. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION Aff <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY 11,F_ <br /> '4 ri&AA) A ,I-ad MIJ <br /> SIGNATURE W" REGISTERED I Y/ N I FEE CURREN LI_LN J <br /> Address 101t12 15+11-6f_0 157_P4___A0 License# FE-E-i—E ikzq <br /> ELECTRICIAN COMPANY = —1 <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN YIN <br /> Address I License# <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License# <br /> \'J <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LXLN J <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address _7 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&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 submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I clumpster.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 (copy of contract required) <br /> Rercofs if Shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />