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813-780-0020 City of Zephyrhills Permit A 1 <br /> Building Depa <br /> Date Received <br /> Phone <br /> . Contact for Pe fitting �7 <br /> Owner's Name . p OwneerPhone Number `J'� Z '2_30 <br /> ' <br /> Owner's AddressPhone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IQ�U` I v\ s)- Z p\` 5 �3S�Z LOT# S� <br /> SUBDIVISION C L ` PARCEL ID# 21 - 0 V70—C)CX)M` US-1O <br /> (� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM = OTHER <br /> it TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = -i <br /> DESCRIPTION OF WORK <br /> 3 l� BUILIJjNG SIZE �3, SC�Z l 1 �`1 <br /> )( SQ FOOTAGE HEIGHT <br /> �rr—rr�—�rrr�r�r�rrr�l�rr�-rrrrrr'row'�—eTe"rrr'•r-r�•rre�nTrre®rrt—rrrrrr-r��e—t— <br /> = BUILDING $ 2.5 <br /> 00 s ob VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> J S =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -.—. . . . ... . . . ..':—,I .. . . . ..r:—;—'P. .. ... . . .. <br /> BUILDER OMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address NAS I , License# <br /> ELECTRICIANF T <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII,IIIIIIIIIIIIIII`IIIIIIIIIIIIIIIII1111 <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 data. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, d; <br /> Sanitary Facilities&1 dumpster;Site Work Permit'forsubdivisionsliarge 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,Stonnwater Plans w/Slit 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 /> 16d-1—I4— <br /> Directions: 7+ <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ;.; <br />