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813-780-0020 City of Zephyrhills Permit Application Fax-813-78U-UU21 <br /> Building Department c' G <br /> Date Received ^ Phone Contact for Permitting a (3) -I 0 g-0 �3 <br /> €€€€€€€a €€€€a <br /> Owner's Name v-l 4 w 10- <br /> 0-iA 1-4 5 r 4 Owner Phone Nurn 0-3-3 <br /> Owner's Address 7153 /VeyXOM AV Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 2 2 <br /> JOB ADDRESS 37J53 L7t/elwx OM AV LOT# JJ <br /> SUBDIVISION G"1✓J R I?-0A+'j PARCEL ID# 3 y-2.5- Z 1 6t7000-_73.50 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CCNSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK -_PL AC 4: trE ej 040 POaG14 W I T W GL pis 5 <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> ccXcIEc c€W.XXX&Xcccrc3ccccW.c ff.cc-cck9:UXI.-X:XM:WW.WICK c ff.XCWX@cccXWk9EC-ccc MIL cI <br /> UILDING $ y Z, 0O 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 AMP SERVICE 0 PROGRESS ENER Q R.E.C. <br /> =PLUMBING $ j <br /> =MECHANICAL $ +VALUATION OF MECHANICAL INSTALLATION �, <br /> f' <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO O <br /> BUILDER NY 7ge/b•.TTE (,il)dWS <br /> SIGNATURE REGISTERED /N FEE CURREN Y J N <br /> Address 1Q ln1 CoL�l,nnrj uS License# C(S C 1ST SSy <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L11 N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANIC)4L'�, `'•, ti COMPANY <br /> SIGNATURE" p�'! ' S REGISTERED Y/N FEE CURREN Y J N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address <br /> 1a!€€€ilia aa■aa5!-i-144][aI2-i-M0i'l5 s,'aa as la aa■1N as al■a 195 N a I a N Z I I Z a I[a s II <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: <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 />