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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 <br /> aaIII laaaa ` /�L 1a[aa <br /> Owner s Name r o rvi c`1,(D a va 3 L Ga h�� vr' W Owner Phon Number <br /> Owner's Address tIJS L `�"� ra i 1 J+ Owner Phone bar <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �7 <br /> JOB ADDRESS 7 2 +n!5 - V"a-1 t,v, x eF• �} f(y�/am' LOT# <Z <br /> SUBDIVISION i 1 w PAV1G PARCEL ID# 0T5'`l l�'!' �uD� W6UV — 022-01 <br /> - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK ao m oun cocrere Gwir hi cS Q VCr PGA <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> ccc cc-c-c-c cx c c-c wire cccrccc res ccccz c c crc-c-c-cc-c c c-ccccrcrc crcc c c c'ccc cc-c cc c-c1 <br /> =BUILDING $ 5�i+4/f, T VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ (�®'COS AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 12/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER C <br /> __-+'INISHED FLOOR ELEVATIONS ` I fl FLOOD ZONE AREA =YES NO // <br /> BUILDER COMPANY G��N&p`VV_ rT5 L6=' <br /> SIGNATURE t� ��s��R�E/GISTERED Y/N I FEE CURREEN,J Y/N <br /> Address a. I/� LA��� ntr"1• <br /> ELECTRICIAN COMPANY I t3S 5mv LCF_CD <br /> SIGNATURE REGISTERED 1 I Y/N FEE CURREN Y/N ^ t <br /> Address �``'7 ` S` Q� V License# G �7 <br /> PLUMBER _ - COOMPAplY=. " <br /> SIGNATURE -- - _ _ REGISTERED I Y/N --"UECURREN _.Y_CN_._r <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> lal <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 wl 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,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.(AIC 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 PERMrMNG (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 />