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813-780-0020 City of"Zephyrhills Permit'Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �51 -7 0 — Cl �7 <br /> It ##" ####"# <br /> Owner's Name KM D 1+t2 i &D XU: br_ Owner Phone Number ' <br /> Owner's Address. ' 610,1 ii C-L Q 1JSWv4r —3 07 Owner Phone Number " <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address- <br /> JOB ADDRESS `fJ`s t 1 . v)_ ( LOT# <br /> SUBDIVISION �y111 l3 C�i LL/1!t PARCEL ID# f��--Z�P d�` . L!`10 0 1-7vo 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) " <br /> WORK.PROPOSED R. NE ONSTR ADD/ALT IGN Q. _ DEMOLISH <br /> STD = REPAIR <br /> PROPOSED USE 0 SFR COMM = OTHER . <br /> TYPE OF CONSTRUCTION = BLOCK " _ FRAME.- STEEL <br /> Ft;DESCRIPTION OF WORK I S�Li i U(Al t 51611 1't kd <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IL <br /> BUILDING $ q VALUATION-OF TOTAL CONSTRUCTION <br /> Ej�fELECTRICAL $ job I -AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. ' <br /> =PLUMBING $ / <br /> =MECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY = OTHER" <br /> FINISHED FLOOR ELEVATIONS FLOOEONE'AREA =YES , NO <br /> v IF <br /> BUILDER I COMPANY C> U3j�si <br /> SIGNATURE + �,,r_ "REGISTEREDgja�" "/N "FEE CURREN '�YS 7 N' <br /> Address 761 S .lzV'� l rt, tl��Jf p. . .3q�0 j License#: �50660 14 � 7 <br /> L /"�, <br /> ELECTRICIAN I Pr PAt Y9 S 16 <br /> �L W� <br /> SIGNATURE i RED Yf N FEE CURREN -Y PN <br /> Address ?�i) N+^%l� �. , ,f 6 ,o � � y tii'✓� 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 Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y-/N <br /> Address License# <br /> I"I.I I"#-III I.I 1.1.1 a I#L.LI.I.i.i:I-.i.L LI L.I I L.I:I LI I_i_I_I I I 11119 L <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 dumps ter;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: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(PloVSurvey/Footage) " <br /> Driveways-Not over Counter if on public-roadways..needs ROW <br />