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I UV-UU4V City Of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received F Phone Contact for Permitting <br /> I a I I 1 1-1 1 F I I 1--r-117-Y I I I <br /> Owner's Name Hr�fb I nc- Owner Phone Number <br /> Owner's Address 7D!:�OMPa 3S Owner Phone Number <br /> Fee Simple Titleholder Name -�snvy\.Q Owner Phone Number <br /> Fee Simple Titleholder Address <br /> S71 0 LOT# <br /> JOB ADDRESS rby-b0d Nek]'__�Ne <br /> SUBDIVISION A29��rDa k, ARCEL ID <br /> (OBTAINED FRbm PROPtRTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> El' INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> L <br /> DESCRIPTION OF WORK Sex <br /> BUILDING SIZE SQ FOOTAGE bZ kf HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> L___JBUILDING 1 � I VALUATION OF TOTAL CONSTRUCTION, losio6u <br /> =ELECTRICAL $ n AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL .-VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY 77 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> C� <br /> BUILDER COMPANY nc- 7 <br /> SIGNATURE REGISTERED Y/ N ' FEE CURREN YIN <br /> Address Irn"02 alecjr�A- License# I C13C039C)C12 - <br /> ELECTRICIAN COMPANY Jrc-Me <br /> SIGNATURE REGISTERED FEE CURREN <br /> nAddress License# o o <br /> :'LUMBER COMPANY �)D fil(\Cl <br /> t- <br /> SIGNATURE REGISTERED Y I-N. FEEtURREN - Ly <br /> L N <br /> Address S4-It /OM Hk&*63 6 License# F—CF-n 4 2:'- )3 <br /> MECHANICAL COMPANY B-'r- <br /> 3IGNATURE REGISTERED FtECURREN\J I Y/N I <br /> Address 1+>S�2 4- (2i,6y ­WL" License# Fc—A C6 33 W 9 <br /> )THER COMPANY <br /> !IGNATURE pp REGISTERED Y/ N FEE CURREN Y/N <br /> Address '?q G License�# I-CC 1'� ?�_9 S <br /> ZESIDENTIAL 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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislons/large projects <br /> ;OMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms._R-6-W'Permit for new construction. <br /> Minimum ten(10)working days after submittal d ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> )IGN PERMIT Attach(2)sets of Engineered Plans. <br /> **PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> )Irections: <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 /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> 'eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />