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813a80-0020 City of Zephyrhills Permit Application Fax-813a80.0021 <br /> Building Department . <br /> Date Received i Phone Contact for Permitting l 3 33 - 27 6.a.. <br /> 13 _Owner's Name 0 In n r.�Ytt Owner Rhone Number . 9 <br /> Owner's Address -7 -7 ! C./4 1 7t4 33 Owner Phone Number <br /> Fee Simple Titleholder-Name Owner.Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS T 3Q I R J� / k Dr. :JS. - (- LOT# <br /> SUBDIVISION �- � PARCEL ID <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK,PROPOSED NEW CONSTR ADD/ALT Ci�jSfFN� Q Q DEMOLISH <br /> e. INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER _ r9 <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK i- t- lveo *GX <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �^ <br /> =BUILDING z S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY .0 W.R.E.C. <br /> =PLUMBING ;Z�Jo <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS /� ROOFING SPECIALTY Q OTHER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY C, c5 iF11 4 tAE <br /> -SIGNATURE "REGISTERED N FE CURREN ..Y/.N� <br /> Address 2 d-7. eo (45fwacl License# G! :3 2-7 3 Cp - I <br /> ELECTRICIAN COMPANY <br /> SIGNATUREE REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> PLUMBER ' COMPANY <br /> .SIGNATURE REGISTERED Y'/-N FEE CURREI` <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED Y/`N FEE CURREA <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ NJ FEE CURREh Y/N <br /> Address License.# <br /> RESIDENTIAL Attach(2)Plot Pians;;(2)sets:of-Building Plans;(1)_set of Energy.Forms;R-O-W Permit.fornow construction, <br /> Minimum ten(10)working days after.submittal date.'RegUIt6&onsite;Cohstniction_Plans;_Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,.Site Worts Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a 1lfe Safety.Page:(1)set of Energy.Forms.R-O-W Permit for new construction. <br /> Minimum ten(10),working days after,sutimittA date:';Required onsite,Construction Plans;Storniwafer 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,upgrad®s 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 />