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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 97 3 7 F/ <br /> Owner's Name -A S>L CLG Owner Phone Number <br /> Owner's Address 3 Crg3l_17+ Owner Phone Number 7Z-7- <br /> Fee Simple Titleholder Name I V KU,, 6.j k Owner Phone Number <br /> Fee Simple Titleholder Address /Sv -5/ 7 Sf A__fetes f / 7.3 <br /> JOB ADDRESS 0 GI�S C sue/ ZC' /i�`'ll j� �� 5�/Z LOT# <br /> SUBDIVISION PARCEL ID# b 3J'60 -00GO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q <br /> DESCRIPTION OF WORK ifs wo--,k bo//1-1 Gcl"0 <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> 11111111114 <br /> =BUILDING 1$/7S yUs VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY hSfrc- <br /> LArrS7�iac}o�, <br /> SIGNATURE REGISTERED / N FEE CURREN /N <br /> Address VO- _13-r 7(3 %�chfCF1 33.56`J License# G�C 0_5F798 <br /> S-E-EGTRIGM // COMPANY <br /> SIGNATURE /fir fir- REGISTERED Y/ N FEE CURREN Y/N <br /> Address 33�/� License# �G C 1522 72 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <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 /> 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 />