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813-7e0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �f 2 f� <br /> Date Received Phone Contact for Permittlnpp v J ✓^— / <br /> I I I I I I 1 1 I l l i l <br /> Owner's Name �u C(GnrC M ��� (�+ Owner Phone Number <br /> Owner's Address 3D m �/ Cl 11{�J 1 l C I Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -1 a u m- -E-,cx +v m LOT# 13 <br /> SUBDIVISION C\ V 1`[ t y) �A I PARCEL ID# 35-25—ZI —V mo—G0000—G—73D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT ® SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK Q FRAME = STEEL Q(� <br /> DESCRIPTION OF WORK V Y (Gt C <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ®BUILDING $ 23 I5O U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESP ENERGY = W.R.E.C. <br /> PLUMBING $ ��/,7_ ,N[v , .� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ✓ v <br /> =GAS = ROOFING SPECIALTY OTHER ` <br /> � 0 Ori FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . .*)C&JACJ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y N' FEE CURREN Y/N <br /> Address tIp I v� i1�SGO 33 l�Q License# /1.o <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N' FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> It1IIIIIIIiItIIi111IIIIIIIIL � I � lo1111IIIIf11III � lII � IIIlI � 111 � I111I <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 dumpstet;Site Work Permit for subdivisionsllarge 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,Storrnwater Plans w/Sift 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 Aftomey(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 />