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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 9 f.0 0 7 7 <br /> Building Department <br /> ^7' Tti �v I�5 7 <br /> Date Received g ( t? F j7,6 " u0 63 <br /> Phone Contact for Permittin <br /> E[lalfl� frs.E <br /> Owner's Name OR 17)^-el A -n E k a y� Owner Phone Number �1 <br /> Owner's Address 20r l e T J Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number p� <br /> Fee Simple Titleholder Address / 1 f� <br /> JOB ADDRESS ? 20s- IQ C-ct J'C D-r, LOT# <br /> SUBDIVISION AiEhA V l it PARCEL ID# Z Z I '00 90-000 C;V q 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME = STEEL <br /> t— = <br /> DESCRIPTION OF WORK ) ra, o�A and IP l�C ROp- <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ET OOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I 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 /> pp <br /> OTHER COMPANY III/ "nMiP» k <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address S L U6 a I License# I CC C—13 25$3 3 <br /> gat ietlli.lf.191 algal 192's.> i.s-11.7.191.2'ilSiAIN115.3g.3 all Afl.issliss valfullli <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 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 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: i <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 AIC Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />