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813-780-0020 City of Zephyrhills Permit Application Fax tsis-ttsu-uuz-i <br /> Building Department <br /> Date Received J Phone*�oniact for Permitting Fe 2Z <br /> ........ 03= <br /> Owner's Name oe_�)P—r- Owner Phone Number Owner's AddressF�Dka� 5k\Ve_('C,,,dC) Q.�Jr&N &V Owner Phone Number �! <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 56v8 <�;N k V-WA-\ &V A _Z�4 L101 R—LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRE] ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION, Q BLOCK Q FRAME STEEL _J <br /> DESCRIPTION OF WORK am"i 67 tO_ 115CY)t ':&J a LYXA <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> I I 114 <br /> L It-PUILDING C) (0(—ZSX_) VALUATION OF TOTAL CONSTRUCTION <br /> R r\=ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I V L <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I i I I I I I I L 1. 1 11111 1 1111111111 i I I I I I I I I I I I I H 1 144 i,H i.I, I I I I I I I I I I I i.111+14+14,14 1,1-1.111 1 1 11 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y VN-­- ---FEE CURREN Y[Wjj.......... <br /> Address t r License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURk REGISTERED YJ N_I FEE CURREN LXLN J <br /> Address U;cense!o F <br /> PLUMBER COMPANY <br /> iIGNATURE REGISTERED I Y/:W I FEE CYRREII <br /> Address Lkens6tl <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LY'-/-_N J -FEE CURREN Address -License J-77 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1.N... FEE CURREh <br /> Address License,# <br /> H + <br /> RESIDENTIAL Attach. Plans;(2).sets,of,Building Plans;(1):set of--Energy Forms;R-04W Permit--for new construction, <br /> Minimum tedo 0)worki,rid'days,after Submittal date.,'Requilr6d trisite-'Construction'Plans,Stormwater Plans ml 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 Llfe,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 /> ---------- ------ ------ - --- .................................. <br /> Fill out application completely. <br /> Owner&Contractorisign,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 /> Reroofs If shingles Sbwers Service Upgrades A/C Fences,(PlottSurvey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />