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813-780-OU20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> RENUMNARRat <br /> Owner's Name ( t�d ,/�/���`i�Q"��I��V� Owner Phone Numbe r <br /> Owner's Address `1p p {� WkA(J^ 1:k0LtOW Dif Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address /I _ 1 (�, <br /> JOB ADDRESS 31b1p 1�_��VV�(/?'Qp�/,�' " k-w /���� ^I r� LOT# <br /> SUBDIVISION O�a y� Y�1 PARCEL ID# !J{ L�r µ—Ov-%13"00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM OTHER f <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME <br /> STEEL M T IAA <br /> DESCRIPTION OF WORK e� V�JV`Q Q �{ Sv �Q(/\ 404 <br /> BUILDING SIZE Iola /� SQ FOOTAGE « HEIGHT <br /> -IV E�CE C7C7L'i'CCEYE CE�i"E�i-C"7C�E�E";'i->C E E'E">IE-tSE 7L'i'�E'L E 7CCZ C L-I[E'E'E E Z'�E"E�E-IC[R:CE"C7 <br /> BUILDING <br /> 7 $ 10O.dD VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r / <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES �l <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY i \ <br /> SIG RE 1 REGISTERED Y/N FEE CURREN I YIN <br /> AdAl License# C <br /> aaaaaaalist a a6aa7aalfaEaia 1Baraaaalaaaaa7aaaailaaaasaaaaaaaiaaaa! <br /> RESIDENTIAL Attach(21 Flo 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 dumpsler;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/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 /> 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 roadways..needs ROW <br />