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813-780-0020 City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department <br /> r I <br /> Phone <br /> Date Received ( Contact forPertnittin J <br /> Owners Name ^ R 13 E Owner Phone Number <br /> Owners Address S G f 2 � -A V E. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2 12 7� A v E Z EP N 4 R H rUS LOT# 0 <br /> SUBDIVISION PARCEL ID# /- -2/-001 O —0!9 300- O/ O <br /> tOBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR�ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME Q STEEL = <br /> DESCRIPTION OF WORK I O -I+u U PHOrOU MI-C SQInP AAla <br /> BUILDING SIZE SO FOOTAGE HEIGHT %f�"/ <br /> L!IBUILDING $U 270,.pd VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ '/ S O.DO AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A) <br /> =GAS = ROOFING 0 SPECIALTY = OTHER (/JJ OA �n I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO /S: <br /> BUILDER •'J J QOMPANY <br /> SIGNATURE I REGISTERED N FEE CURREN a/N <br /> Address f License# <br /> ELECTRICIAN J O COMPANY V-F&jr G R <br /> SIGNATURE `' REGISTERED / N FEECURREN <br /> Address V <br /> A License# 7 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> IIIIIIIIIIIIItlllllllilllllll_IIt111111111111111i1111111111111111111 <br /> RESIDENTIAL Attach(2)Plat Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonmwater 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)sat of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonmwater 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 /> DlrecUons: <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 S7500) <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 />