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S13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0U21 <br /> Building Department <br /> Date Received Phone Contact for Permitting 2 (O Ll 1 - 0 <br /> aaaaaa III a 2 N IF aasaa jj. _ <br /> Owner's Name 5 �p t TO Y0. E k n Owner Phone Number 1 J J Z 7 <br /> Owner's Address PQ X �� K 'r 1 1 <br /> F L ,Z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 16053 0. k d\Yd\ 3, H <br /> LOT# B <br /> SUBDIVISION PARCEL ID# 1 1 'Z(Q '2-1 - 0 d(C> • 1 1 I OO'OO Z Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW COLSTR e ADD/ALTREPAIR SIGN DEMOLISH <br /> INSPROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK �""I nS� {1 c�}�O r1 b 1C C"O-n n 2% I C V-S//�� <br /> BUILDING SIZE 34 1 (p" �= L. F SQ FOOTAGE HEIGHT 5 - KJ I r <br /> ..C.L.L..6.E.>[.L.L.7C4.>:"i.rlu,Lx.i.C.i"i_L.B. ...L.;.;.t.t.=..�.{._.;.=.L_Z..e.�.;.�..;5.;.€..L.�.;.;.L..�"L.�.€.�["i."C_C"€"L"L"i <br /> BUILDING $,)2 ,-1 I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 5 1 AMP SERVICE = PROGRESS ENERGY Q ///W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �r <br /> AC&1q <br /> FINISHED FLOOR ELEVATIONS GAS ROOFING FLOOD ZONESPECIALTY AREA OTHER <br /> REA =YES NO ( / <br /> BUILDER COMPANY <br /> SIGNATUR REGISTERED Y/N FEE CURREN Y/ <br /> Address License# <br /> ELECTRICIAN COMPANY EC,5 C ke C t r C C.1 C Yl 4 Y0.0 t Y 5 C <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y I N <br /> rl,-1to�Z rospec} p�. <br /> Address (A)` i k{ License# I FC- %300 Vs-1o3 <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 I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> aaaaaaaaaalfaaa■Eaaaa.aaiEEsiaaaraa7a.ataaaaalaiaaaliaaafaaaaaaalLaaaai <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.(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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />