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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department j <br /> Date Received — Phone Contact for Permitting 6' <br /> ,w, --JJ 1[!!! <br /> Owner's Name a l (MJ(y SV)r % rA a Owner Phone Number <br /> Owner's Address 0 2 St" eW'Ni`11 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 5 <br /> JOB ADDRESS 5�Z3 P i 110C ZG &rh i 111,5 A f LOT# <br /> SUBDIVISION 55;if '(,/ 14h PARCEL ID# I —Z 00— 00II&OV a' 0170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw[ONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK en`' ws,+ 1aa rep ifl,,,swwtayip/ e4l.is dCGI� <br /> BUILDI SIZE SQFOOTAGE fv HEIGHT �'�. ✓ <br /> CC�C��['C V'rC'�'C-�'L'S'R�K-CrEC K-rLTi-['eE CCr <br /> UILDING $ /11 O.3O VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ ` AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 61 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1/5�0 <br /> / 17 <br /> =GAS = ROOFING = SPECIALTY = OTHER 4 ` •J'a(� 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO U <br /> BUILDER I���5 COMPANY ombv LSO ' 5-a V L, L <br /> SIGNATURE L REGISTERED I Y/N FEE CURREN/� <br /> Address [ �G (/ ( Fj/y License# of RC 3 Z g4 d <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address I License# <br /> tt11[angles i![1E![[![!lltallit[!![L[110![[[lliallallt[selffo[![l11[!1l <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OW Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/SIR 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,Stonnwater Plans w/SIR 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 />