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. t. <br /> 813-780-0020 City of.Zephyrhills Permit Applicatibn Fax,813=780-0021 <br /> Building Department <br /> f� O iaW <br /> Date Received Phone Contact for Permitting <br /> r <br /> Owner's Name I Owner Phone Numbe <br /> r' <br /> Owner's Address 'f 73 .i Gl R. Owner Phone Number Q3-7(oN' l y(,S <br /> Fee Simple.Titleholder Name ^� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS E,q 73 S �U G• H2 1•I I LOT# <br /> SUBDIVISION F PARCEL 10#. 2 s <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR. ADD/ALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR CJ COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK tQ FRAME 0 STEEL Q7777-- <br /> DESCRIPTION OF WORK Re- .! rNl N-.-r5 5`I Si r z 6 6 in 3 <br /> BUILDING SIZE I .i SO FOOTAGE HEIGHT �_ I <br /> �UILDING $ �b 2$■ 5$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL I AMP SERVICE Q PROGRESyS ENERGY Q W.R.E.C. <br /> ev <br /> =PLUMBING $ L P�� <br /> 12, <br /> =MECHANICAL r— VALUATION OF MECHANICAL INSTALLATION / �✓ <br /> 0 <br /> GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> 1 � <br /> -■__y__!_t__.__t-l�f t f.....f__.t_.■-■_L-f f f ■ ■ t ■ f • ! f t • . • • ■ • • • f ! f -W-t It t f f t <br /> BUILDERI`T_iTIT}TT � O9NY •.L■. •w e 5• �- <br /> 5; A-A <br /> SIGNATURE REGISTERED __ FEE CURREP I Y/N EJA <br /> Address c9 t C3 ni'lbgt4 ;r'Z License# cf6'e— I'SC.c3 Lf i 7 <br /> 2`0'79 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y!N <br /> Address license# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN FEECURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE l REGISTERED Y/ N FEE CURRD Y/N <br /> Address -License# r� <br /> OTHER COMPANY <br /> SIGNATURE L REGISTERED Y/ N FEE CURREA Y/N <br /> Address License#. <br /> Iltillliililt11111I1.111111111tt111I11111111111tt1111111. 111111111111 <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 onsile;Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster:Site Work Permit for subdivisionsAarge 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 onsile,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> -- Sanitary Facilities&.1 dumpster.Site Wod,Porm,*t for n1l 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:f <br /> Fi11 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 avmer)would be someone with notarized fetter 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 />