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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact,for Permitting <br /> 2 rrrrrr= ,RV"T _Dx <br /> Owner's Name e1$1Af,* 49 Owner Phone Number <br /> F 0 <br /> Owner's Address 15613 )CA Ll ->,4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> -77- <br /> Fee Simple Titleholder) <br /> JOB ADDRESS F _57' L7cl t, LOT# <br /> SUBDIVISION F PARCEL ID /'0- AU700, idi A% <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEWCONSTRR ADDIALT Q SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR Z7 <br /> PROPOSED USE Q SFR Q COMM Q OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK 4ta_p� Ak-1 <br /> BUILDING SIZE SO FOOTAGE Wj 901/ HEIGHT <br /> =BUILDING 1$ 110,46T] VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ 01� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =YEt,-` NO — - <br /> 1 <br /> BUILDER S. )P .COMPANY "_:�e! .K '. 1 - 1 . 71 <br /> SIGNATUREL REGISTERED 0,"",FEE CURRE <br /> Lij�e n- 52f <br /> FT S, <br /> Address <br /> ELECTRICIAN ,COMPANY <br /> SIGNATUW#_ REGISTERED Y N_ 1:,: '.FEE,cuRR N L <br /> A _XLN J <br /> Address Lic <br /> PLUMBER ;COMPANY <br /> .-SIGNATURE 'REGISTERED Y/ N.1" ' FEE CURREN <br /> Address License#-1 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y IN FEE CURREN LILN_J <br /> Address License# <br /> COMPANY <br /> OTHER <br /> �IGNATURE REGISTERED Y/ N. FEE CURREN Address License J <br /> *I t <br /> RESIDENTIAL Attach(2)Plot Plans;(2),sets.of•Buildlng,Plans;(1),set of.Energy Forms;R-0,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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LifeSafety 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 dImpster.Site Work Permit for all now projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of,Engineered Plans: <br /> "'*PROPERTYaSURVEY required for all NEW,coristrubtlion. <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,_,"_'­'(copyof contract required) <br /> Reroofs if shingles aewers '.':"S6rvIt4 Upgrades.A/C Fences'(PlottSurvey/Footage) <br /> Driveways--Notover Couniei;)f I'on" e. <br /> blic'ibadwayt-n ads ROW <br />