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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — ✓f Phone Contact for Permitting �(I 3 0- q -OIip 3 <br /> Owners Name -,Rb('(�� ,y�r f` /}� yi'�V4 Owner Phone Number <br /> Owner's Address LIT A J Tr ✓rf l4 U b R Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /] r /� / <br /> JOB ADDRESS �l D/C • E_ t'L f-1.=L t-1 ! LOT# <br /> SUBDIVISION PARCEL ID# 3S'-Z S-Z I-60 S-0-O O O O O-G21 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSfR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK O OF ROO,-'HQUlfrEd P46T )VOLMIC SQL iq P4"C'b <br /> s <br /> BUILDING SIZE I SO FOOTAGE® HEIGHT NfT <br /> BUILDING $r/ 3/ g a VALUATION OF TOTAL CONSTRUCTION <br /> [RIELECTRICAL $ v) ,��7 20 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ `f <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 Z '35 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER _000MPANY V Ji V Z'M 7- R U 15 V DLO P <br /> SIGNATURE REGISTEdRED / N FEECURREN /N <br /> Address c 14 License# 3 AA /-�N�� <br /> ELECTRICIAN 1� iV�MPANY [{� S LAQ YC1v _ trr <br /> SIGNATURE REGISTERED / N FEE CURREN I O/N <br /> Address 5164 W. A MtiA AV License# <br /> ~ PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> Illlllllltlllllllllllllllllllllllllltllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plat 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,Storrmwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater 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 /> Dlrecbons. <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 Attomey(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 />