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813a80-0020 City of Zephyrhills Permit Application Fax-813780-oo21 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting ( OLJ) - <br /> ww��it itZA ,p.pc" �- s ,r f Z��i t 2 � i:�iC •/� 2� . <br /> Owner's Name `c 1 � l E ATe v J vn s n t Y F Owner Phone Number V <br /> Owners Address 5-5_4'114K Owner Phone Number <br /> Fee Simple Titleholder Name ,_ _. --` Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS r l ` l l! LOg �qs)/�Ty# �) <br /> SUBDIVISION PARCEL IDO v 0D -0V Vt/✓'J` <br /> IOHrAWED FROM PROPERTY TAX NOTICE) - ' <br /> WORK PROPOSED e NEWCONSTR� ADD/ALT LJ SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Comm = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL Q <br /> DESCRIPTION OF WORK fA9�2f vi t`i Alew � � p S s-T2 ^ 4,9K9 <br /> BUILDING SIZE SO FOOTAGE® HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S O AMP SERVICE J(JV PROGRESS ENERGY Q W.R.E.C. <br /> f <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION I Uv <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> EEC—ram- -��E��-v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address y� License# <br /> ELECTRICIAN R 1t �y�//t►�i p COMPANY � ✓I 1 v X'y <br /> SIGNATURE -y� 1\9�^ r `c �^ REGISTERED Y/N FEE CURREN / <br /> Address ! JS ire ��(0 A1� [A4 VA" License:t 1- 30 V p23 Ud <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N_ FEE CURREN Y/N <br /> Address I License OF <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License it <br /> OTHER COMPANY. <br /> SIGNATURE REGISTERED I Y/N FEECURREN Y/N <br /> Address License# <br /> EE.cBEEPEfiEfEEf:'EEBEEEEEEEEEEE@@EEE@E.EFLEEEEEE: E`rEEEEEEEEEE€cE@EG@E:s;; <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,Stormmater 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,Stonmvater Plans wd 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 /> �^���,� .-'`.�.se�e%a��.�-.Fs.:1<�1.:.�1e%.e�.ra,�.^���.e�r'✓etr��-€r�e�-C-�'e�E.j-rcr��.-�-�r`�.rlx�1-'aF-=--=ijj,�,'�.r <br /> Directions: <br /> Fill out application completely.'- <br /> Owner&Contractor sign back of application;notadied <br /> If over$2500,a Notice of Commencement is required.(A/C'60grades,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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadmays..needs ROW <br />