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Fax-813-780-0021 <br /> " s13-Tao-0ozo City of Zephyrhills Permit Application <br /> l Building Department Q pp C (� <br /> Date Received / Phone Contact for Permitting O 70 0 - J 3` <br /> Owner's Name / Owner Phone Number <br /> Owners Address Y(� -I "LCf k � L/T�!'. GKi -733 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addrrepesss- /, <br /> JOB ADDRESS d , r�. 2/1``e3 xg Y- LOT# <br /> SUBDIVISION PARCEL ID#1 D,)-at, a I- ctit)b -I T U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR[T ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q [ BLOCK /= FRAME = STEEL Q J <br /> DESCRIPTION OF WORK /��l3' a_ lul � io;, sCreQyabW7 ry 'Sul' fT(J ROW) <br /> lair ,( I O <br /> BUILDING SIZE 1D T IC V SQ FOOTAGE a J� HEIGHT <br /> TI"7"T�PITf�PrrTT1T... . . . . . iR . TPi�r'�Yl-r�f�iT <br /> =BUILDING $p D w VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION -2,1 <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .. ..-.. . . . . . . .. . . .. . . .-. . .-.-.- I... .- . . .-....-.-.... .. . . .--•--.-.-.-. . . .�-. ... . <br /> . . . . . .D . . .//. . . . . . <br /> BUILDER — gz!k� COMPANY k 14'1' [Gl;Z /N u "— <br /> SIGNATURE REGISTERED <br /> , Y/ N FEE CURREN Y/N <br /> Address S ��/ d —(?Ai-Its 7.L- License# CC- 01-7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Llcense# <br /> 111111111111111111111111"IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiI.IIIIII <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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety 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 /> +1-14 -L-Fi-la-1-H-. . . .-�f-L�-4-6-F-L-i-1-/-i-i-I�I�b�l-4-FI-F-S-IDirections: <br /> FIII 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 />