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r , <br /> 813ae0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department !2 <br /> Date Received.- Phone Contact for Permitting— 13 - 27 5 <br /> Owner's Name b� tr LA 1 me Owner Phone Number <br /> IJU ` C-A <br /> Owner's Address r� , ' Owner Phone Number F <br /> Fee Simple Titleholder Name owner Phone Number F — <br /> Fee Simple Titleholder Address <br /> l ' r��^�Cn <br /> JOB ADDRESS C.� t 5"1 UY (ji c.�, LOT# <br /> SUBDIVISION 1 l,r 1 1"»Y Vi 'PARCEL 104 - a o- fi`f i- cil r ocwjr o <br /> aw <br /> (OBTAINED FROM PROPERTY TAX NOTICE), <br /> WORK PROPOSED.. NEW CONSTR ADD/ALT � SIGN = Q DEMOLISH <br /> R INSTALL H REPAIR <br /> PROPOSED-,USE . [� SFR Q COMM. OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK y" .� FRAME <br /> I [_,� STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE"=: HEIGHT <br /> =BUILDING $ � VALUATION"OF TOTAL CONSTMUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING. =$��� ''�',• __ _ <br /> =MECHANICAL' $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS. Q ROOFING _;Q SPECIALTY OTHER- <br /> FINiSHED FLOOR ELEVATIONS — FLOOD ZONE AREA [=YES. ,NO <br /> BUILDER COMPANY-• <br /> SIGNATURE REGISTERED LlLijFEE CURREA Y/N <br /> Address Ucense# 1 <br /> ELECTRICIAN• •COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN' LYLN J. <br /> Address License# �� <br /> PLUMBER COMPANY ti� 1 Vl�l <br /> SIGNATURE �_ REGISTERED I Y./.N- FEE CURRER.: I y./ <br /> Address l f'V !1�1 'ems (�- License# (_ UL)S-()e d 5"ti � <br /> MECHANICAL" COMPANY <br /> SIGNATURE REGISTERED. I..YI N I FEE CURREn: Y/N <br /> Addres <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N.__" FEE CURRER Y/N <br /> Address Ucense#� <br /> RESIDENTIAL,.;, Attach(2);P1of.P:lans,(2)sets:b BuiIdIhg-P.lans (1)'sef of Energy Farms;R.-1 =Penriit for new construction,. <br /> Mintmum:ten(90):woddgg.days.aftet',Wbmtttai`date:'-Required onsIW.rAh,t ic0on Pians;�Stormwate"r'Pians w/Silt Fence Installed. <br /> Sanitary Facilities&.1:dumpster.Slte,Work,Permit for snbdivlsiohs/large projects <br /> COMMERCIAL Attach(3)compiet®'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,Stomlwater Plans w/Siit 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)s®ts'ofEngineered,.Plans:. . <br /> *"'PROPERTY SUREY required for all NEW construction.. <br /> ligutla;alliliia;zillililiauw-wmlI All Mill WWHWW!4v1 <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 Attomey'(for the,owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING •(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways:.nseds ROW <br />