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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> d Nam. <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's Name 4f b Owner Phone Number elk)3) $LIa-Q q-58 Oki <br /> Owner's Address _Olo14 JrAve., Znohrlhills Owner Phone Number <br /> Fee Simple Titleholder Name D7 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (p 14 s2r-J e• Zelphfghills LOT# <br /> SUBDIVISION F PARCEL ID# I O -_a"J— OO 10— 190600 —dd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF*CONSTRUCTION = BLOCK FRAME STEEL = <br /> DESCRIPTION OF WORK Dc%m h fi o-F ko ,,ac <br /> BUILDING SIZE SQ FOOTAGE "I d® HEIGHT <br /> BUILDING $ / VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ !� � e�7 <br /> =MECHANICAL $ VA_LLUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY 4,& Coro LCc+ian <br /> SIGNATURE ' 1 REGISTERED ICU N FEE CURREN Y!N <br /> Address UD SU1112 346o) / License# <br /> / o�0U3 3 <br /> ELECTRICIAN COMPANY f�6o, 40" <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> _ Address License# <br /> �vv ,SI NATU F ��� �� COMPANY �— <br /> QN��gSI�GN.�ATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> vSIGN COMPANY —� 5 <br /> SIGN TOREE -- �/�L_ 7`f7 ii�� 11/` REGISTERED Y/ N FEE CURREN <br /> ti a Addres`,-- License# <br /> 000 OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 /> 1 i 1 i t t i i i. . . . ' C�'..i. i i i 1 1 's i i i i i . . . . . <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />