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i,813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �/ �/ <br /> Date Received Phone Contact for Permitting F4� / - / �� <br /> Owner's Name < <7 S Owner Phone Number d 30` <br /> Owner's Address "?as l �G�l CG p y t✓ �LL Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / 9a D Yt e, 60 — LOT# <br /> SUBDIVISION /`7 t � PARCEL ID# �3_a5 -al- �LO�" L _ OVIv <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR H ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER Dv <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> �-I = <br /> DESCRIPTION OF WORK OO ` �0VZ '� /4ce 4G00 _ J 5h 1,0 S <br /> BUILDING SIZE SQ FOOTAGE F o6I) HEIGHT v�+r <br /> =BUILDING $ 7�D VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 7 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ,. BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ;ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN <br /> Address License# 'I <br /> OTHER / c COMPANY 9 !2S �✓ I 0 4-mc <br /> SIGNATURE // REGISTERED Y/ N FEE CURREN Y/ <br /> Address 79S-3G �h�i//�-� �y��? '' j3`�� License# <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities-&1 dumpster;Site Work Permit for subdivisions/large 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(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 />