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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ Phone Contact for Permittingg g 3 782 3J5,1 3 <br /> 1 1 1 1 1 II 1 1 /� s.ff I l l i l <br /> Owners Name C'1QI /Vey/11 fl$ cif p Owner Phone Number S —748 y7Jr3 <br /> Owners Address 36 GrVen 41(G Dr. �I+t O VT Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38707 I cf ve Z f kr tts FL. 335yZ = LOT# <br /> SUBDIVISION PARCEL ID# — -Z 'U01C) O ICU -DO-JD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME�t f= STEEL II GIAI <br /> DESCRIPTION OF WORK t�eo Scceen t'porn 646C a 10 e4'IS-fr �nr ah <br /> BUILDING SIZE 1 8 X 10 Sol FOOTAGE I Z S HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ (T � ? (aA_5 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �d�� n/V 4b <br /> =GAS = ROOFING 0 SPECIALTY = OTHER -v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> D� <br /> BUILDER D / COMPANY d7cS 7IItlfm <br /> SIGNATURE REGISTERED / N FEE CURREA 14aY N <br /> Address $ G // S�ve� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREK Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn LY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK I 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,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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 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(far 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 />