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81&78M020 City of Zephyrhills Permit Applicatio Fax-els-7B0-0021 <br /> Building Department' a i <br /> Date Received Phone Contact for Permitting J I - �� � 1�� <br /> rriTr- Ei) <br /> (� -T-rrr OwnersName 2Q- Ca� t i"Jaf,%� Ow r Phone�Number <br /> U�3 7 Z-� �O <br /> Owners Address J O t 4 6 1'i� V Owner Phone <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3%-740 ?I"' Ave, FL 33542 LOT# 0 <br /> SUBDIVISION PARCEL ID# I'Z(D ' Z' -�� Q r 0-I 400^ QZdO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK e I a c,rt Z e(�+rr a u o rs Size -Foy 5,Z 2 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $2/��}[JrQO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER rDal <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> BUILDER �� �MPANY Of A.n E +eriors T/►G <br /> 91, <br /> SIGNATURE REGISTERED I Y N j FEE CURREA I Y/N <br /> Address I"IT N F(o),d-A License# C PC a S t 0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREA <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y!N <br /> Address License# <br /> 1 1 1 11_I.1_J_I I LL 1_L 1_I I I I J.1 I I J LI-L I_I 1.1 1_J J 1_I I LI I L L I I I I J_l 1 1 1 1 1 1.1 l_1 1 1 1_1.1 <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,Stonnwater 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 /> 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 />