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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> / . 'r Building Department <br /> Date Received 13 a O _ s Phone Contact for Permitting <br /> Owner's Name 1�2 Owner Phone Number <br /> s (al.d.�� vrcai <br /> Owners Address Pe46,24e Vil Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address / / //� ?�-y1'\ / <br /> JOB ADDRESS S� lR a -fY I1� [�� L�� ILL/ :?3S�7 6 /��L`O`\T`# /U� <br /> SUBDIVISION P i A D l It PARCEL ID Z `2 v V v Ci[.X.CJ23-4`d§-6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCE�J 0 FRAME l = STEEL Q /� r�1 <br /> DESCRIPTION OF WORK 000ts O O n* (43wt � L'( r"�� ��� � Jx�13 7 n�«� <br /> t f <br /> BUILDING SIZE SQ FOOTAGE 3 HEIGHT <br /> TP'r��f'9�1'�P'rYrrf"TI"��1"7��i TPT��r�r"I®P®P7�ITPPTF�TT'Tf�P"1'T'rZ�l"•YY'P.�ITri�P'�19�fm1T <br /> E BUILDING $ �� D Do VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 00 AMP SERVICE = PROGRESS ENERGY E�!J®W.R.E.C. <br /> EETP[L)MBING $ ODD 00 �1 <br /> D'MECHANICAL $ S-D�•pp VALUATION OF MECHANICAL INSTALLATION Z J <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILD• . .�.��'.�/'C/OMFAN�� •�l I�� e/ �•��s• R •(�Nil p� �.,`t / <br /> STGNATURE /REGISTERED Y/ N FEE CURREN I Y/N <br /> Address �(� OYI f. k 6k , 41t d( License# <br /> ELECTRICIAN //I/I �C MPA�Y Q,M l -e �S O"15-6 'e e— <br /> SIGNP�r1f 1 (/"// Rjt�'.I.T.RE <br /> EGISTERED �/ Y/ N FEE CURREA Y/N <br /> Address 301 ig f t r((1 License# <br /> PLUMBER NY GIN/ l�� u2edw e F�' <br /> S G A URE I( Y/ N FEE C RREt Y/N <br /> IN-4-ow <br /> l <br /> Address O If b7�r)¢l �(0 License# <br /> MECHANICAL C64ANY GI k I-e PS NZ&6 VL-e <br /> GNAT RE REGISTERED 1_ Y/ N FEE CURREt Y/N <br /> Address a`rp lne { MimiLicense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN )/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllll <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 dale. Required onsite,Construction Plans,Stonmwater Plans wl 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 wl 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 /> -6-t--I-1-1-i-1--l�l-f-i-l-k-1-1-6-1=Ial-1-i-6-1-4-t-.d�l-i-ImL•-6�i-f-8�bm6•-i�t-l-t--6-i�l-�L--I-1-1-4-f-5.-4.F-i-1-{�-4-1-1-1--I-4-1-b�F- <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. (A1C 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 />