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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> LLL&4AJJAJ"....... ......... <br /> Owner's Name 'TA-s s ov A, . Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> .J!OB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# 26—2(—61410—6 116 dr-10,7 e d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK F_uF(A Awl- 15 v 0 0A tb—1 r(I A <br /> BUILDING SIZE SO FOOTAGE= HEIGHT 7 <br /> r__71BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION': <br /> =GAS Q ROOFING F-1, SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES- WO-;, <br /> 9 6 i i I i i a i i i 2 i 6 i i 1 v 1 1 l 2 1 2 2 1 i i i i i I i 6 i fil 1 o I'I lZIA 1,1 ji 1+1 01-H-14 di l 6 1 6 i i l <br /> BUILDER COMPANY <br /> SIGNATURE I . <br /> REGISTERED ��7117'11"FEEtCURREN ,..Y/��N <br /> Address License*177 <br /> wo . ffELECTRICIAN COMPANY yI y-OAt t <br /> SIGNATURE REGISTERED Y/ N. , FEE CURREN LILN_J <br /> Address lJkq : rif 4xkf r4-V-4 se�# Fa aa,i zw-i <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ R FEE CURREN Y/N <br /> Address LidenseJ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y­/ N-,' FEE CURREN Ly <br /> _L N_J <br /> Address License#,F_ <br /> OTHER COMPANY <br /> #IGNATURE <br /> _REGISTERED Y/-N_7 FEE CURREN <br /> Address License# F- <br /> 11,14;1 4 11 1 1 11111111+11.!H!1,!111 H H'H!111,*1.11 1 H 1 H a 1,2 111 1§'A it a 1 1 a i <br /> RESIDENTIAL Attach(2)Plot Plans;(2),set&of�Building Plans;(1)set.of.Energy Forms;R-00,Fermit for new construction, <br /> Minimum ten(10)working days after'submittal date. Required'onsit6,,Coristrucfion"Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans 016S 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 Perm i it for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans; <br /> ****PROPERTY SURVEY required for.atl,NEW construction. <br /> }`Directions: ' <br /> --- ........... ... .................. .... <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 /> Reroots If shingles Sewers Service Upgrades A/C Fences'(PlottSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />