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1­VV4U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting J#5L,e-age'A aw-MCAV­kor m cof" <br /> a I K I A I I <br /> A A A A I I a a A I a A I I <br /> K3 - "I.- <br /> Ex <br /> Owner's Name Owner Phone Number <br /> Owner's Address Z (a Da 'bK --r-ampa 33 ' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3S Z V654- -N-2 LOT# <br /> SUBDIVISION PARCEL ID#' -0 trio -61 p - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Wv resiJona- 3- (-) eeJZ- La410 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT77 <br /> I X I I <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (�-6 <br /> AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> ]MECHANICAL $ q. &6() VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS '7 Y 6 FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY irk <br /> SIGNATURE REGISTERED FEE CURREN L_LLN__J <br /> Address00 —7 License# a_ 'Crt)�:z <br /> COMPANY ELECTRICIAN <br /> CID (-A EjeC�rj C <br /> SIGNATURE. REGISTERED I Y/ N FEE CURRENY7 N I <br /> Address Lmo a 16,9 h& ZOA-road t License# I Er Q 63a:J� I <br /> PLUMBER COMPANY <br /> SIGNATURE F �;7>o- REGISTERED I Y/ N 'FEE CURR91, YIN I_J <br /> AddressRZ-13 Towa --S3617--7 License# IC FC 691 �-L 1i <br /> MECHANICAL COMPANY Y, -C�4 <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address 54 0 7 I)cn vv.*- 0 SD License# I CA CA 33 <br /> OTHER. COMPANY Leo" - <br /> SIGNATURE REGISTERED I Y1 N I FEE CURREN LLLN_JJ <br /> Address NA1Fd4-f_i&U 'v(0S-31 License# [a 2 3 <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/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects i <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&I 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 /> 1 2 V V ff a v 2 1 V V I a V V V I N V V I N V . . . . . . . . <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 /> v;L <br />