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\ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received '/'e- / Phone Contact for Permitting / / d 9 — �p7N / <br /> Owner's Name f{ i�11 W 0 1+ Owner Phone Number 57—l�?� <br /> Owner's Address I S2o3 /7 ZC h !HrP S 375 JT Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS 5 Zd- q1 f�7�h 5� Z�7�1l / �7 r S 3 5 LOT# <br /> SUBDIVISION Sec ��' I�ZEll PARCEL ID# 00110— f y'&0C'_ 0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER I C&o rnoOnw-st S44e r <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK _I I/ 4,0C 50Ic-,- �G S Co �{�✓ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ I'Qf 5 qd VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 7 av AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ fy Z WJ / 1 ,// <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C ( <br /> =GAS = ROOFING = SPECIALTY = OTHER (/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ��,✓� � Olt71P Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Y/N !� <br /> Address 52v� �u•� G(wes� RI✓ �un+ �rL 3G3� License �1.p�- <br /> J , I. n lry n <br /> ELECTRICIAN LL�c� 1� �I�PANY -- <br /> ELECTRICIAN ((V// a REGISTERED Y N FEE CURREN i Y/N <br /> Address Sw 6cn, w s. Blvd ?k fL 3-3(r3� License# r `,4 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> � � � � � � ' iiiI � 1 � 1111ulliliii1 [ l1 � 1 � 1 � � 11I � II � ll � � l1l � l � � I I I � � � t � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 /> . . . . . . . . a . . 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 />