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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> x <br /> Date Received �Z t $ Phone Contact for Permitting - <br /> Owners Name f'f n l h t h Owner Phone Numbe <br /> Owner's Address 4 3 J rnL S! Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee SimpleiTitleholder Address <br /> JOB ADDRESS F So LA-5 3r-ck 54- )► ���\ � �3Sya . LOT# lf1T / <br /> SUBDIVISION PARCEL ID# ' -d4 r a)' 0 O i 6" ) ,Ztp i5(, Z3 6 Lo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW,CONSTR aDALT, 0 SIGN = _ DEMOLISH <br /> ® INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> { t <br /> TYPE OF CONSTRUCTION K FRAME Q "STEEL = <br /> i ; <br /> DESCRIPTION OF WOR `� t �U✓�-� Ycu ! "d^CY\ LIB S� I <br /> BUILDING SIZE o� '$ X `t g SQ FOOTAGE HEIGHTr <br /> &�lB.UILDING $ .r�5 p0 a VALUATION OF TOTAL CONSTRUCTION <br /> =,ELECTRICAL $ o' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 11 AV <br /> =,P,LUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =OAS = ROOFING Q SPECIALTY = OTHER v �� <br /> s <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO® A I <br /> BUILDERi �(S COMPANY <br /> SIGNATURE REGISTERED Y/"N-. FEE CURREN LI.LN <br /> Address License# <br /> {; <br /> ELECTRICIAN , ? COMPANY <br /> SIGNATURE" REGISTERED Y/"N FEE CURREI` <br /> Address License# <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED` Y7 N`- FEE'CURREI`' <br /> f <br /> Address License# <br /> t <br /> MECIIANICAC a:_ ;;:_.::.._'•;.';.. •.,..:_;_,� , l I COMPANY... . <br /> SIGNATURE"-"_" `` REGISTERED I YJ W-­,l FEE CURREN <br /> Address License#. <br /> OTHER,,- __COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREC`. <br /> Address License# <br /> =::. .. <br /> ,RESIDENTIAL- Attach,(2)Plot Plans;,(2)sets of Building.Plans :(1.),set of Energy,Forms R=O-W.Permii for.new.construction,:. <br /> Minimum ten(10)'working days aftersubrrlittafdate. Required onsite,Construction Plans,'Stormwater 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_submiftal"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 /> Fiftut application completely. <br /> Owner&Contractor.sigmbackof"application,-notarized. _ .. <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor):or Power-ofAttomey`(for the owner)would be someone with notarized letter from owner authorizing same <br /> --�6VERiTHE:000NTER:PERMIITIN6-:- (oopy.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 /> e ' <br />