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813.780.0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received r <br /> AlPhone Contact for Permlttln ( ' <br /> 0 .131114 <br /> Owner's Name ACO, S� Owner Phone Number <br /> Owner's Address 3'17q oZ Pfuw r� 12as& Zoo Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '6'1-1qa Pro�r-- i2os 1—P, Z rh111S,FL 3354 LOT# <br /> SUBDIVISION VOdI,�,,} ^aln'r PARCEL ID# 15-24-0%-Oa%o- 00000 — 04g6 <br /> _ / (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR ! <br /> i <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 9•a V-W 10J' SO\&r sq-of M 'C oo� 'k3p m+ow�t <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ eo AMP SERVICE Q PROGRE ENERGY Q W.R.E.C. <br /> =PLUMBING S V /t ,I 1-J L001 V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONOI <br /> Z � <br /> =GAS = ROOFING Q SPECIALTY = OTHER r V 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO Cj L <br /> BUILDER y C �1.� COMPANY >I <br /> SIGNATURE f t�r REGISTERED I Y 1 N I FEE c RREn Y/ <br /> Address I License#I C o CJ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEECURREA LILN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y!N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE Y/N <br /> Address License# <br /> Illlllllllllllllllltltlllllllltlllllllllllllllllllllllllllltlllllll <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 onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;She Work Permit for subdivislons/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 onslte,Construction Plans,Stormwater Plans w/Sllt 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />