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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `r o <br /> Phone Contact for Permitting �}^ <br /> aie.■ <br /> Owner's Name e G Owner Phone Number -go-7- yY3 <br /> Owner's Address a c.JG 1Jz� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,/ [J� �4 I <br /> JOB ADDRESS 16q9C ' �V C C a,'&'0 G piV� Z/�.I�S �L�,133�1 LOT# / <br /> SUBDIVISION JL\)JGfa�o�o L. PARCEL ID# 0J'J-c2e',2(-Vioo—co?oo— dito <br /> ff (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION =] 1 //BLOCK FRAME 0 STEEL Q t <br /> DESCRIPTION OF WORK fl//���atxSuctn/ G1++�`S A-G/ EX. 1, W.As pA�i La(,Sf 004 <br /> BUILDING SIZE t I Or r SO FOOTAGE 9� HEIGHT + 6."JCre <br /> =BUILDING $ j do. v O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRES$-E( RG Y = W.R.E.C. <br /> =PLUMBING $ 4- Z�/�/((__////yy((// <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2— Sie <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER r COMPANY l vjs4l WV.N uL Z f aC C a 1 LC <br /> SIGNATURE 7 ) y REGISTERED Y/N FEECURR/EN YIN <br /> Address 33 �o„er�a 1�fi L►��15 (.. 93!M License# SCC G 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEECURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> _2 E.I.rI■IU .[_. .�e.i.■"�LI.Le�I"L■Ia�IIa■_L�Ici.i.i�Ll■.I�I_r��■�LLI��Ici_�■.Ilrr-t <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/Sift 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(PlaYSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />