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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 ata�a <br /> Owner's Name ESIF` Z t LamnawS �� Owner Phone Number <br /> Owner's Address /00 ckwu-hJ St w+S� /•l'• <br /> � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 711 o &,i/ 61d Z A 1, FL US-VI LOT# <br /> susolwsloN Z PARCEL ID# 3S-U- z/-0130 - 00000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �g SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK //•A orw�) �� o �.�+ -/ kY G+CX G1�•rw f o <br /> BUILDING SIZE 80 FOOTAGE HEIGHT <br /> 'ccc errccrrrrr cccrrrrcrrrr rcrrccrc crc rrcrc rcccc c ccrcrrcrcrrcc crrrct c� <br /> ©BUILDING $ (r 00 � VALUATION OF TOTAL CONSTRUCTION S�S <br /> ®ELECTRICAL $ r0O AMP SERVICE Q PROGRESS ENERGY Q NV.R.E.C. <br /> =PLUMBING $ J <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER ZCOMPANY 'J S�jh llf&4fi W4' <br /> GNATURE ZZ7 <br /> SI �/ REGISTERED YIN N FEE CURREN Y/N <br /> Address 1j&Vk 0%j-'6k 3yok License# <br /> ELECTRICIAN162 COMPANY L B s s"Vi f., <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 'r License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/IN J <br /> �l <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LILN <br /> Address I License# <br /> OTHER COMPANY 1 <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address F License# <br /> aaaaaaaaaaaaaaaaaaaaaataaaaaaaaaaaaa �aaaaaaaaaaaava_aaeaaaaaaaaataaa, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date,Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Penult for subdivisionsAarge 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,Stornwater 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)sate of Engineered Plaits. <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadwaye..needs ROW <br />