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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department C <br /> Date Received t�s Phone Contact for Permittin O o`T I J/9 y <br /> Owner's Name �Gll 1 r�re I Owner Phone Number <br /> Owner's Address q 3 7 I nl� Owner Phone Number <br /> Fee Simple Titleholder Name F P Owner Phone Number <br /> Fee Simple Titleholder Address t P, ', � Aq +- 2 <br /> JOBADDRESS 14-13 Ler W hS 11s J35 Or�T�L, ##��� <br /> SUBDIVISION PARCEL ID# 15_0 W""�I—CQDD^C MD O,Qn'D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW <br /> COLSTRe REPAIR SIGN = = DEMOLISH <br /> INSTALPROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK & :c::: I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ri, bSO� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $S AMP SERVICE 0 PROGRESS ENERGY Q 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 /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y L N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER �— COMPANY eROD-0I G r fV.0 L <br /> SIGNATURE , REGISTERED Y/ FEE CURREN J11 N <br /> Address W i-&-n'tz ^F:J%o 2& p A-33S)I License# CeCi13oAP S <br /> IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111 <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,St'ormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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 /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />