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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 313 377 _ 2739 5 <br /> Owner's Name D ona.l d J-okns4-or L Owner Phone Number .3 <br /> Owner's Address 37Co05 Core Lewis Ave• Owner Phone Number <br /> Fee Simple Titleholder Name I DDrt,--ld Lee_T0h,S+oh Owner Phone Number <br /> Fee Simple Titleholder Address 37&05 - eone /( Lewis ✓ Ze LI r-Ai�!s ��• 3.�.s-V <br /> JOB ADDRESS 37(605 C orc Lewis Ave—VC• LOT# <br /> SUBDIVISION Grand Roritorts PARCEL ID#I 3q- 75-o?t- 01$0-00000-3a8D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ® FRAME = STEEL I AT11M/ <br /> DESCRIPTION OF WORK `Fcarrx>rt She-,A, C o ricre- if -1 'Ste S <br /> BUILDING SIZE 3 I x J °2, SO FOOTAGE '� HEIGHT <br /> YP'P�T�i�r�r9�Y1TP�T�P1'YtiI 1'7�rT`PITPf API"I"9"'P°r'PrTI'R�I'7TR�PT}�ITI"1"I�f�ITPP'9�Pr'TrTP'IT <br /> ©BUILDING �Z VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ` AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER I (� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .. . . . .--. ... .- . . •'1'-,--. .. .-. .. .-. ... . . . .. fit-:-C-'-. . . .-. . . . .- <br /> BUILDER &� <br /> COMPANY Bat ln Con-f rrzr-+l* ,u <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I <br /> P Y 1��N` p <br /> Address 0g Ga!! 6t�d. Y�il�S License CBC �a-56 07 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIitlllll <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,Stonnwater 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 dale. Required onsite,Construction Plans,Stonnwater 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 /> -1�1-H-i-1-1-1 1-1-1- 4-N-bf- <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(Plot/Survey/Footage) <br /> Driveways-Not over,Counter if on public roadways..needs ROW > <br />