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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> / Date Received J% 2.r2 1-0(� g _2t� <br /> /I 1 1 1 1 1 1 1 1 / PhIIIone Contact for Permitting 1 1 p. <br /> / Owner's Name GT` ` 4 w� OOwner Phone Number Fol✓ Uo'0Ono <br /> Owner's Address 15315 V 6T,let**It �� ��• 4aOwner Phone Number <br /> Fee Simple Titleholder Name SPIV p��Jt/0��p���`/ Owner Phone Number <br /> Fee Simple Titleholder Address S' -MC—�ks V C)j <br /> JOB ADDRESS 65`b�? 3/�` 415AJ t-OAD fit tCLO FL 31 1 LOT# <br /> SUBDIVISION s L 1Z 2�L PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ® COMM = OTHER D <br /> TYPE OF CONSTRUCTION ® BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK lyE��T�tNiS RR�`/��W6Od5E�ISD (Q-lC9E}�Cc�p Co�3EZ'i'`� <br /> BUILDING SIZE �b` x �k t SO FOOTAGE �!�"'� HEIGHT <br /> ®BUILDING $1/�D,� oaO VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> ®PLUMBING $ G2,I`l. DE1O <br /> ®MECHANICAL $ /Lf+ I/ VALUATION OF MECHANICAL INSTALLATION <br /> l oar Si 4e- y/ <br /> =GAS P5;;il ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS `b`•/Z C FLOOD ZONE AREA =YES NO <br /> �! �• a c� /�n-(/-- '•;f J V <br /> BUILDER COMPANY J'O/®�� l I Q q� �%��• <br /> SIGNATUR �� REGISTERED Y/ N FEE CURREN Y//Np Q 1 / J <br /> Address �.� N ecum,-M v- �13 l2 License# COe- <br /> ELECTRICIAN TPA p / COMPANY =TIFv <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> PLUMBER TC✓ �Qn" COMPANY D <br /> SIGNATURE C7C•� REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICSIGNATUR REGISTERED <br /> L D /r �l COMPANY c:, FEE CURREN Y!N <br /> Address (/� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 dale. Required onsite,Construction Plans,Stormwaler 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 Safely Page;(1)set of Energy Farms.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$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(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />