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R 813-78D-0020 City of Zephyrhills Permit Appli tion Fax-813-780-0021 <br /> Building Department <br /> Date Received �jv Phone Contact for Permitting — <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> Owners Name Pis�`� a f • apikvv G caner (hone Number � r? e 41 <br /> 77 �ry i <br /> Owners Address 3J0 S 1- Le qrhr Owner hone Number <br /> Fee Simple Titleholder Name Owner hone Number <br /> Fee Simple Titleholder Address J� y <br /> JOB ADDRESS 30 P-o ` 5-r ,Ge /-) rj,, i s � / LOT# <br /> SUBDIVISION D PARCEL ID# I J f1 s` 41`OD <br /> (OB AWED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SI N = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = O ER <br /> TYPE OF CONSTRUCTION Qp BLOCK <br /> S�JJ Q �FRAME Qr ST EL Q <br /> DESCRIPTION OF WORK /`�l7�LtG(/ L2 is G i'I GG.r� 'J_r *� D 7- -a L P' <br /> BUILDING SIZE �C> L SO FOOTAGE H IGHT ! `— <br /> kBU'ILDING $5 9/IDJ 7 Y�� VALUATION OF TOTAL CONS I UCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ /_ Z►/`1 <br /> _ <br /> =MECHANICAL $ VALUATION OF MECHANICAL'INSTALLATION <br /> 01 <br /> =GAS = ROOFING 0 SPECIALTY = O HER ---� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER , COMPANY !! �7 l 0 6! P Lt G <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> !j <br /> Address License# <br /> ELECTRICIAN , c COMPANY 45eo4x5 Lc <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address R 3J lu 17 m tt1 tg V r le N License# eC 13 0614, b <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED LI Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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 date. Required onsite,C nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)s t of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,C nstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects. I commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> • 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 ' <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$750 ) <br /> Agent(for the contractor)or Power of Attorney(far the owner)would be someone with otarized 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/Fo tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />