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813-780-0020 City of Zephyfhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dale Received n Phone Conl act for Permitling <br /> Owner's Name t,D t'1_ -7���? <br /> � �In* Owner Phone Number � � <br /> Owner's Address Q0 Q( + i"�} Owner Phone Number �r <br /> Fee Simple Tdleholder Name ( t Owner Phone Number <br /> Fee Simple Titleholder Address (((/ � f �+/� <br /> JOB ADDRESS 3 / /4(,o �./ R C i i (�.I ef) /�/� �tLOT# <br /> SUBDIVISION ►4(.k Ru� PARCEL M# 64-2*5-a I'" 000-00—::'M-ol <br /> (OBTAINED FROM PROPEMTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT �� SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q / f�FRAME � STEEL 0 <br /> DESCRIPTION OF WORK r e,L f 1 fq 9vf/i r) :QZ 1b k1 I(4- <br /> BUILDING SIZE C�� SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =E.LECTRICAL Is AMP SERVICE C] PROGRESS ENERGY Q W.R.E.C. <br /> QF'LUMBING Is � <br /> h ECHANICAL $, q n,, VALUATION OF MECHANICAL INSTALLATION <br /> =o.4S ROOFING r7 SPECIALTY Q OTHER <br /> FINISHED rLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATUREz REGISTERED I YIN FEE CURREII <br /> Address 7 License# <br /> ELECTR)Cr.AN COMPANY = ------� <br /> SIGNATURE REGISTERED I Y/N I FEE CURREn Y/N <br /> Address (� License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURREn YIN <br /> Address — Liginse#F— 7 <br /> MECHANIC AL COMPANY � �Q� C <br /> SIGNATUF= qp g��r REGISTERED Y J N FEE U(RRREATp[,�YIN <br /> �j'�' <br /> Address 1 7- i `J 3 f [� License#N. f4W 4-,: 7 1 <br /> OTHER COMPANY t <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y J N <br /> Addre m License If <br /> IilIIillllflitifl / lit / flit / ItiIIIii / tiiittlltlllttll11111l1l11l11t1 <br /> RESIDENTdAL 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 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/Sift 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 /> F <br /> Directions: <br /> Fill ou:application completely. - <br /> Owner&Contractor sign back of application,notarized <br /> If ove*$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> `• Agent(for the contractor)or pou2r of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy D(contract required) <br /> Reroofs if s-ringies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />