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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q 2 Date Received If <br /> Phone Contact for Permitting O�J L-7 0p <br /> 3 t�� <br /> Owners Name �p�'e J 6#614W!r E'si- 4�[ / Owner Phone Number f'� p �o� �/ <br /> Owner's Address O�O�S/"�� {/2f�°, 2/Ii��S 33J ol_ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ' <br /> JOB ADDRESS O y` C.2 2 <br /> . K" - h, /if l�- 33J Yd�- LOT# <br /> SUBDIVISION JY/�P 6 vy d PARCEL ID# �� '-26-,a ' Ohl v 05ZW '0 b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME JJ= STEEL <br /> ' Q J <br /> DESCRIPTION OF WORK �J X`2 RS��CL� CQr dr+ C�/L ��ClST lY 'f 1q <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> �PP�IYP`TPi�Tf'YrPt�r'PAP'PY®P'I�1"1'T'P®t�I9T�P`rITT'r`rP1T9��ITr1'7®rr�TrTP'1'Ti�l"i�PITP"PP <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �'.��f-ti--1�.-'r.'•- P�....s . . ...�.v��.. . . ' •_-.-.-. . ',-.1-1-�Z-G-. . . .. . . • <br /> BUILDER � !UPREGISTERED <br /> COMPANYSIGNATURE v! Y/ N FEE CURREN Y/N <br /> Address !v/SY /`�1L Kl1� �. s`�� 5 � License# c—,gc..i-Zs i se <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIl1111I111I11111I111I1I11111I1I1111I1It1i11111 <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 onsile,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 Farms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stomtwater Plans w/Sill 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 /> ions: <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.publlc:roadways..needs�ROW <br />