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813-780-0020 City of Zephyrhills Permit Applicatii o-0021 <br /> Building Department <br /> Cl <br /> Date Received Z(�—t�� T/t Phone Contact for Permitting <br /> p <br /> Owner's Name 1�eL tN k1 ./! 0 A E P� Owner Phone Number �J�� `9 I'Lob 10 <br /> Owners Address la SZ A K O 1 (U L Sr. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /n� T <br /> JOB ADDRESS z wtICCQ N QZL S I ` �j p LOT �l, <br /> SUBDIVISION PARCELID# -2(0-G I'UOOO - OQU0 0-00 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED El INSTALL <br /> CONSTR 8 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 IFA U RIT 6 IN ilr- A 12QQF-1Y1QUAJM6 MOM VO CIP TC S LA R -OA AJ a <br /> BUILDING SIZE I I SO FOOTAGE HEIGHT <br /> s�srE14. <br /> BUILDING $22 1_ 3.L'6 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $1 03,&O AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ •/ 1 v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER 6ZS231 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO "7 / <br /> BUILDER �. �/)OMPANY r (JECQA <br /> SIGNATURE VR�EGISTERED / N I FEE CURREN Y/N <br /> Address J License# <br /> ELECTRICIAN —1 ( COMPANY V: V T NT �O <br /> SIGNATUR ` REGISTERED / N FEE CURREN Y/N <br /> Address RiFLicense# 7 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN <br /> -AiId er ss License# <br /> IIIIIIIIIIItllllllllllllllllllllllllllllltlllllllllllllllltllllllll <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 Farms.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 /> Dlrechons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) . <br /> Agent(for the contractor)or Power of Attomey(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 />