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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department o <br /> Date Received Phone Contact for Permitting <br /> r-r'r� �I 2 <br /> Ownees Name R1G�1lal.( S e-ars Owner Phone Number 5(a 22- O-S <br /> Owners Address 00 MqA1&n H611ow Dr Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address A I r <br /> JOB ADDRESS 3� Mdvtl n 1_0 (&a r ( k, L 335 o LOT# <br /> SUBDIVISION PARCEL ID# L y " G(o-Z 1-Q 09Q 00060 /O O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �{ QC,� 5 Aci-bk LSQor 51 1o+r Sl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ •Qd VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ cm&k S�V`�'� <br /> 0 <br /> ;S`! <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (L <br /> =GAS = ROOFING 0 SPECIALTY = OTHER �O V <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO® <br /> BUILDER �1 COMPANY F—MQ r5 A A �et'I OrS <br /> SIGNATURE REGISTERED LY/ N FEE CURREN I Y/N <br /> Address N 1 0 4^ w License# 6��2 O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1_1 t i 1.1_I_I I t 1_I 1 1 1 1_I_I_I 1 1_t 1 1 1 1_1 I l l l l t l t l l l l l l t l l 1.1.1_i 111.1 11 1 1.1 1 1_1 t l l t l l l <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(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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. (AIC 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />