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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 2 <br /> Date Received .Z�.��,• Phone Contact for Permitting OQ I J 83 -- ;7;7AO <br /> 4J.LLLAA.A.LA.A"1 I I I I I I I L <br /> Owner's Name /�A �']A JA-S Owner Phone Number <br /> Owner's Address L;ncAL Avle A41s Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address' <br /> JOB ADDRESS J g3,5 n co l,, Avc.-� LOT# <br /> SUBDIVISION bAco% Anj 1,.'-S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED;USE Q SFR 0 COMM Q OTHER <br /> TYPE'.OF CONSTRUCTION Q BLOCK 0 FRAME 0. STEEL Q <br /> DESCRIPTION OF WORK L� lL S lA Al.s ! <br /> p D'l�6r X �s <br /> BUILDING SIZE F SQ FOOTAGE . ADD HEIGHT <br /> OBUILDING $ q VALUATION'OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ / AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> 0 <br /> PLUMBING $ <br /> MECHANICAL Q $ VALUATION OF MECHANICAL INSTALLATION C( <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <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 .J., . FEE CURRE� <br /> Address�' License.# - <br /> .OTHER. >:?:i � �/ � :®COMPANY <br /> SIGNATURE??;:,:', REGISTERED / N FEE CURREN AL Y/N - <br /> aad ess -,License# Ea`14 3 v <br /> _.:;<. -. <br /> `.RESIDENTIAL; ; `Attach(2)PIoC'.P.lans;''(2)set's'of Building Flans;(1)'set of EnergyFonris;R-O.=W.PermIt for new.construction, <br /> `t,Y,. ,Mlnimum.Ktenx(z10)working?days aft6:r mittal date:`Required onsite;�Constn coon Plan§;Stolmwatei�Plans w/Silt Fence Installed,. <br /> Sanitary;Facllities;8%1 dumpster;,Sife;Work.,Permit.forsubdivisions/large'projects': " <br /> :'.COMMERCIAL Attdch(2)�oomplete'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•pirojects.All commercial requirements must meet compliance <br /> rSIGN'PERMIT i4ttach(2)`sets_of;EngineerediPlans:z--_: s <br /> ****PROPERTY SURVEY.requlred,for aII,NEW construction..t; <br /> Directions: ;t:�,�a��. <br /> :Fill.out;application completely. <br /> Owner B.Contractor sign back of application,notarized <br /> -if over$2500;a Notice.of-Commencement Is required. (A/C upgrades over$7500) <br /> Agent(forth'e co ntractor)-or,Power-,of'Attomey(font ie._gvyner)gwould 6e someone with notarized letter from owner authorizing same <br /> OVIEWTHE-COUN <br /> PERMI <br /> SRe oofs if sh ng esTER Sewers NG ervi a Up�orpdeg A/C, Fences(Plot/Survey/Footage) <br /> Driveways-Not over CountdFifon kpub is ioadvy y. •, <br /> I a s:.rieeds'ROV1l <br />