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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Received Phone Contact for Permitting V <br /> 4A.W6" ............. ... <br /> Owner Phone Number 71 <br /> S A '5 S 2-_J4�5-7 --t( <br /> Owners Name levg_ -Fo, yJ e- 1A 0 <br /> Owner's AddressF--3104Z D,,by P - , Jade 6< Owner Phone Number <br /> Fee Simple Titleholder Name FA Aya_< Owner Phone Number <br /> Fee Simple Titleholder Address F-2- ( te.' "_40 Le ' 4A_p N <br /> JOB ADDRESS 9 L46 62AL4, 81(. _2ePt+yW_tftLe_S1T-(- LOT# <br /> SUBDIVISION kkcv:kS 157 lea[ rior.1 PARCEL ID# 01 D 0 C) 9 bc)— C)IqO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK EAS20c, A bp AA L/_ 60"U.'d 0 (ew 9EA01 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING r 0 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ q <br /> M"gdwbv- <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION 30 <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .4 0 A"I"' <br /> HI 1 ass 1 1 1 1 11 I'll 1 1 a I It H H H HiHH Ho H"HHHM IH!el I!v!1 1 1 1 1 HI 1 1 1 1 1 H!IN 1 1 HI 1 1 1 a Hill <br /> BUILDER COMPANY I W <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_Y_LN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N _] FEE CURREN LIN <br /> Address License# I <br /> OTHER COMPANY — 0 O(I)A <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LK/N J <br /> Address 4 r el750VIE License# <br /> Hiiiiii I I 1 9 11111111111111111111 9 11 i I I I <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 submittaidate. Required onsite,Construction Plans,Stormwater 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 /> 0_ ------ -------- -------I,........ <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/Footaie) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> L <br />