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813a80-0020 City of Zephyrhills Permit Application Fax-813a80-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting — <br /> —I-1—ITrrl�1— .�V� r� — <br /> Owner's Name P �� l 1` 7TC11(s1 I�) ) �' he Owner Phone Number / <br /> Owner's Address Po 6a sm, Z 4rk.11S 3353 601ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ll b (t/U Q h / l I I S j 3 J LOT# <br /> N <br /> SUBDIVISION PARCEL ID# o��D "aS�o�� -boOD- oO�ob-aooc� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK K sr fl 10 S 30 Cj II e S <br /> BUILDING SIZE SQ FOOTAGEEJ� HEIGHT <br /> =BUILDING $ - aODID,�I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = 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 /> ;TI•�r'r 1 1 � � � ■ 1 ■ � � i � ■ � 1 . i . 1 . 1 1 i 1 ■ i 1 1 ■ � ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ � i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N.' <br /> Address I License# <br /> OTHER �GISTPER <br /> C01 LS}-t'uC��"7 e�'` r C- <br /> SIGNATURE —1 Y N FEE CURREN YIN <br /> Address 3 I L,0(, M(�Y' t I�CtG� k I/k,I(s 33-5y(icense# I C—C—C— 13 D- S--D <br /> " 111111111111111111111111111111111 111111111111111111111111111111111 <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 /> . . . . . . . . . . . . .-.-. <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 /> TER PERMITTING (copy of contract required) <br /> (7rivFeways-Not <br /> s Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> over Counter if on public roadways..needs ROW <br />