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813-780-0020 Fax-813-780=0021 <br /> City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name .4j- d— '244 Owner Phone Number <br /> Owner's Address 31 2-3 o- . m- Owner Phone Number <br /> Fee Simple Titleholder Name F wner Phone Number . <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 312.3 {�o le/e/ 0!/d�1 D2 LOT# <br /> SUBDIVISION Ide/! plUt1Z PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE = SFR E] COMM Q OTHER: 1 <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL' = n <br /> DESCRIPTION OF WORK 6 , �' 4+ 01i.�( Al-e FPr1G f? �q c't (� �.- �Sd'' LT7 �{ 2 <br /> BUILDING SIZE CFOOTAGE �z�a HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / AMP SERVICE = PROGRESS ENERGY Q. W.R.E:C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C�� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY eme Fe,)cx <br /> SIGNATURE L REGISTERED Y/ N FEE CURREN <br /> Address . ��L, �s �T License# n 7?, <br /> ELECTRICIAN COMPANY = - . . I <br /> SIGNATUR9 REGISTERED Y/. N FEE CURREN. <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREA <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 <br /> Address License#,. <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;,(1)set of Energy.Forms;R70-W Permit for new construction,. <br /> Minimum ten(10).working days after submittal date.'Required onsite,.Cohsiruction Plans,Stormwater'Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit 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,Stormwater Plans w/SlIffence installed, <br /> Sanitary.Facilities&i 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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />