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813-780-0020 n City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ — Phone Contact for Permittin 013 14057 _ L(L{L4r0 <br /> Owner's Name �Jl�L��/- SSD� �rj/��L(rL� ",� Owner Phone Number S13- 361 qLf�' <br /> Owner's Address (-V* � 61A I�r�IT�i wx1 33 Owner Phone Number <br /> Fee Simple Titleholder Name I 3 Owner Phone Number <br /> Fee Simple Titleholder Addd✓esss2-6 <br /> 2/- �� N r ' t 2 t �j r, <br /> JOB ADDRESS 15'"[3f I Q I 6 [/L+W�[A -1/J � J 3�-y�/L� LOT# �1 fq <br /> SUBDIVISION d-r vD101��- PARCEL ID# 1 1' 26 - y1 -X1 F0 -(3100— 9110 <br /> 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR J ADDIALT SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION rBLOCK Q FRAME �Q STEEL <br /> DESCRIPTION OF WORK �-& UL1_1"tVV ) OSG� s <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> zcacaa&JLC.cL ILca-r <br /> =BUILDING Gi VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ I ! I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ a) ��n <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \ �- <br /> Gam" <br /> =GAS ROOFING 0 SPECIALTY = OTHER (4 r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO \�JJ t� <br /> BUILDER COMPANY <br /> SIGNATURE L REGISTERED YIN FEE CURREN I YIN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LI±N <br /> Address I I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY N✓I y,J 0A).5 /ta !/VG GW ST. Jrl i <br /> SIGNATURE . REGIBTERED;�,t�/ Y FEE CURREN 7 <br /> Address <br /> tl.ttt.lt.ltdttI.t.1.[1.t11.1.1t.i11.11.[1t1i51.t.it.11.1 avail 1.tttt.i.E1-11.t.116.dii.7.iit.l.[.1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date.Required onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for now 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 forlall 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.(AIC 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 H shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />