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T <br /> 8,t3-70043020 City of Zephyrhills Permit Application Fax$13-781}0021 <br /> Building Department rr�� <br /> • Date Received Phone CoMaot for permitting ( )J ) �4.Z -�D L 3 <br /> yt/ - Owner Phone Number ✓�� <br /> Owner's Name <br /> Owner's Address r�JJ y Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder A))ddHress � . <br /> JOB ADDRESS Lfd 6 , C�, aUA ! LOT# <br /> SUBDIVISION ! 4U�!' a� PARCELID# LI 07 LJ ot�dGJ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW(bNSMR ADD/ALT = SIGN [� C} DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [] COMM - = OTHER _ <br /> TYPE OF CONSTRUCTION 0 BLOCK. C] -FRAME Q STEEL <br /> DESCRIPTION OF WORK r S.o t+ f% -+ T J <br /> BUILDING SIZE ( SQ FOOTAGE HEIGHT <br /> OBUlLDING VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL (3-� _ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QF LUMBING is <br /> A'.ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =C%'As Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED LOOR ELEVATIONS I^� FLOOD ZONE AREA YES NO <br /> 1„1„ . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURr_ i REGISTERED I Y/ N FEE CURREA Y t N <br /> Address License#t I <br /> ELECTRII COMPANY <br /> SIGNATURE REGISTERED I YIN I FEE CURREA I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED � FEE CURREA Y 1 N <br /> Address _ --� ] License <br /> MECHANICAL F . K4.�7.� COMPANYSIGNATU �filUe <br /> �yy REGISTERED Y/ N FEE CURREEN �/ Y/N <br /> Address it�.�3 � License# (J7L�fi•q-fT � <br /> OTHER COMPANY �— r <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA <br /> Addre.;s License#�— <br /> IIIIIIt11.111111111-Illii't-1'Illli.11ltlflillll11111111l111111111111,1111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)'set of EnergyFarms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.'Required onsite,Construction Plans,Stomiwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets or Hullding Plans ptus-a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction., <br /> Minimum ten(10)wondng days alter submittal date..Required onsite,Construction Plans,Stormwater Plans wl Sift Fence installed, <br /> Sanitary Facilities-&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERfvrrr Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> Diredlons: <br /> Fill ou.application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notico of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor),or Power of Attomay{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 s:tingles Sewers Service Upgrades A/C Fences(Plot/Suryey/Footage) <br /> Driveuaays-Not over Counter if on public roadways-needs ROW <br />