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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received' Phone Contact for Permitting 841 —3174 architect 316 <br /> Owner's Name Owner Phone Number �j 0 63 1-0(0 J d <br /> Owner's Address �� � �� 66 4�X Owner Phone Number <br /> Fee Simple Titleholder Name ' LLC Owner Phone Number <br /> Fee Simple Titleholder Address 4Jt <br /> JOB ADDRESS J J9 l� ?,��tl�o ---_ -..:.. LOT# <br /> SUBDIVISION PARCEL ID# O pZ6 OZ-1 OOa.O vaaav 6100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK _ tU Pig', 6 �4 �eKgCrj 5tte 6� t.,i5e T-r <br /> BUILDING SIZE _mno SQ FOOTAGE HEIGHT <br /> =BUILDIN f i . . $ v VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRVL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MEC LAICAL VALUATION OF MECHANICAL INSTALLATION <br /> 2�5 <br /> =GAS = ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER 80f 4D h �� �� COMPANY n v <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � S 9 T <br /> ELECTRICIAN 1 COMPANY [::�e4e E 6 6, , L sj ZL41. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address I P"t g: c License# P-e 13oo 13-6 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY U`+ Imo] I nffir'__SLisbni <br /> SIGNATURE REGISTERED Y/ N FEE CURF <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N__J FEE CURREN LY/N. <br /> Address 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&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 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 /> d I..I.. :_I .. . . . . . . I. I I : 3 I I I I I I : : I I.I I I : I I : I : ICI 1 16 I S <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />