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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name -J .rv- 'S Cv- $ i�qr IV, Owner Phone Number � � " L0 y <br /> Owner's Address b Fox D O P7 Owner Phone Number <br /> �Fee Simple Titleholder Name e S C k Bar Inc- Owner Phone Number <br /> Fee Simple Titleholder Address O BOX O. <br /> JOB ADDRESS [�j at 'gw LOT# 3-� <br /> SUBDIVISION awn O-� h Irk,�lL$ PARCEL ID# 4-a(p"a{"00\0-0300 Obi Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK N e.W �Doc) S Tf <br /> BUILDING SIZE ��� x oo SQ FOOTAGE J HEIGHT a(� A*7 F <br /> =BUILDING $S�n 000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ljolOOC) AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $5p r OO 0 VALUATION OF MECHANICAL INSTALLATION Rep <br /> ROOFING SPECIALTY OTHER �'' � "_l���✓ <br /> _GAS •� 0 0 f�'e'f�� <br /> FINISHED FLOOR ELEVATIONS �� (QC) FLOOD ZONE AREA =YES NO v <br /> UU <br /> BUILDER COMPANY SIalander n-I yea Cfbr arvie eS <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREN Y/N <br /> Address License# (. C 15-11016 <br /> ELECTRICIAN ' COMPANY �" IZGr/7�C <br /> SIGNATURE ! ? p� REGISTERED Y/ N FEE CURREN / <br /> Address IU(�� 1 �) ����/�� �G License# IEZ- 36455-56 O <br /> .PLUMBER COMPANY Sealalnder COR-IY�iCgzv, SIirviCes <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> OTHER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N.J FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-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&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 Commericemerif is required- (A/C upgrades over$7500) <br /> " Agent(for the cootractor)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'roquired) A <br /> Reroofs if shingles Sewers Service Upgrades AIC, Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />