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813790-0020 City of Zephyrhills Permit Application Fax-813-780-0021 i <br /> Building Department tV V 4# <br /> Date Received tl b .Zp� Phone Contact for Pernittin 6 Z — s1� <br /> aa�aaaaa c,,,,, n� w,.� ■aa�ta �p3„�YO• sl8b " <br /> Owner's Name ben i 1 �• b* s p��'/ Owner Phone Number <br /> Owner's Address 2919 �� DI V Owner Phone Number . <br /> 1 <br /> Fee Simple Titleholder Name T 7, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5 r h S FL- �SI�� LOT# O <br /> SUBDIVISION PARCEL ID# �`u• UD(v• 151061• 0/60 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWC.ONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> � _ <br /> DESCRIPTION OF WORK . A C I-F A>C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT' <br /> -CCS�t><C�CS�[T�C><STS7CCSS� CLT CC;'R";_-S-S'C>Ci'CSTC><RT_ ty' - <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ' <br /> =ELECTRICAL- $ . AMP SERVICE = PROGRESS ENERGY . 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ !J G�• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER _ COMPAN Kit1!Anq-tre. n riSCS Y <br /> SIGNATURE. ���----////���`'—�• REGISTERED I Y/N FEE CURREN I Y/N <br /> Address So/I License# CL%6 6 01i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N" FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> t <br /> Address License# <br /> !i((!(!!,!!![[[[[[[i�i!■Iili![([[[[[1(.[(■■i[!((i[[.I[[[[l[iiili.i'i!!�[1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans',_(1)set of Energy Forms;R-O-W Permiffor new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 Fortes.R-0 W Persil for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 />