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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7 <br /> Date Received Phone Contact for Permitting 0 -70p? p S7 <br /> Owner's Name Aye-le <br /> 6, v'r�L`4/ Owner Phone Number <br /> Ownees Address 77 try^ �f Lie �' �C Owner Phone Number r Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS Y/ Vf . 33SV'l.2 LOT# t r/��Z <br /> SUBDIVISION PARCEL ID# .2G-rat 1-6010 J O S76b- Olt) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT DI SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME Q/� STEEL = <br /> DESCRIPTION OF WORK t�L�2 7e �4 LJe K[leJ s(�c �0✓ S e !Y w I`� '`� <br /> BUILDING SIZE -23K Y D SQ FOOTAGE �a d HEIGHT <br /> Tr�Tr�e�i�rrrTe-a"r®R�1�'rr'rr'o-'rrrr'r'rrrre-rrrrre's�rr-�1'arcs"rre-r"r-rP9-1-e�-errrrPrr'r�'r- <br /> =BUILDING $R/eU�{�17 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ V AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> (al Prs <br /> cw -� BUILDER COMPANY <br /> /(v 4 SIGNATURE �J / REGISTERED Y/ N FEE CURREN Y/N <br /> v Address SY /`f leik 4CCf Z�[, 3 rya- License# I3G 1 S 0J I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11I1111111tI1I'IIIIIIIIIIIIIIIIII111 <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 onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsharge 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 onslte,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 /> -i-F-14-t--Ial--4�1-4.4.1+5-1--1-1--1--1-1--6-t- <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 /> 1 <br />