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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permitting — <br /> Owner's Name L /J A-D6 FR&J., Owner Phone Number <br /> Owner's Address 4, qI 2, 6fd W466L SY ZC IZAJj S Owner Phone Number <br /> Fee Simple-Titleholder Name ' n ce Lt a Owner Phone Number <br /> Fee Sirriple1itle holder Address <br /> JOB ADDRESS (Q ZTnco tJ h eic ST Ze `• LOT# <br /> SUBDIVISION S Il-V 6P-AD0 RAVCA PARCEL ID# •0 5 r 21.-oZ 1. 0010 '60.300 00 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE)' <br /> WORK PROPOSED NEW CONSTR ADD/ALT' = SIGN 0" = DEMOLISH ` <br /> INSTALL_ e REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER. I f e,n Gt <br /> TYPE OF.,CONSTRUCTION- - :t BLOCK Q FRAME = STEEL = <br /> DESCRIPI I=ON OF WORK W STJQ)I Ah-W PVC VI✓h F6 a <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =B;UILDING $ °? `d 0 VALUATION OF TOTAL CONSTRUCTION <br /> =,ELECTRICAL $ c� ✓ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =3PLUMBING $ <br /> / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> i <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDERi // '�" COMPANY ECO,>a y » L Ld- <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN, Y/N <br /> Address co6.�0 �pd�lt< (�-e "W4SG� (' K►' License# <br /> - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N' <br /> Address' License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED J­`Y/ N',' FEE CURREN 'Y/N- <br /> Address License# <br /> MECHANICAL CO PANY• <br /> SIGNATURE REGISTERED Y./ N '- FEE•CURREK <br /> Address License#.. <br /> OTHER;;.I COMPANY <br /> SIGNATURE," <br /> REGISTERED Y./ N FEE CURREN Y/N <br /> Address F7 I License# <br /> RESIDENTIAL Attac4_(2),PIot,Plans;(2)sets:of Building.Plans;;.(1,)set.oftEnergy;Forms;R=O=W.Fermit fois.new.construction,. <br /> Minimum td �0)'working days aftersulimittatdate: Required"onsite,Construction Plans;-Stormwate Plans..v%Slit Fence installed,- <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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(1;0)working days:after..submittal date.,Required onsite,Construction Plans,.Stormwater Plans W/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wo&Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets;of,E6glneered Plans. <br /> "'PROPERTY SURVEY required for all NEW construction. <br /> Direat'ioos: <br /> Fill out application completely. <br /> Owner&Contrdetoraign back of application,-notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent:(for-the coritractor),or Power of Attorney(for the owner)would be someone with notarized-etter from owner authorizing same <br /> OVER THE..C.OUNTER PERMITTING� ..(eopy.oficontractArequired)..q'•� <br /> Reroofs1f shingles Sewers Service'Upgradi A/C:"' ;Fence§(PlbttSutvey/Footage) <br /> -Driveways-Not over Counter,if on.,pUblic`roadways,.needs"ROW <br />