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813,180.0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> r Building Department <br /> 1 <br /> Date Received ZO Phone Contact for Permitting <br /> '1-f <br /> Owners Name. kcin s:,orli Owner Phone Number <br /> Owner's Address I 1qq LgOEgffi V Owner Phone Number ! <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ee <br /> J08 ADDRESS FNJ I /�v e, Z 20T# s. <br /> SUBDIVISION 5o k E514+c PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) r <br /> WORK PROPOSED NEW COt�STR ADD/ALT = SIGN = = DEMOLISH i3 <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME STEEL Q r <br /> DESCRIPTION OF WORK W/ <br /> BUILDING SIZE �� SO FOOTAGE I HEIGHT <br /> �UILDING s 558,d •q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE = PROGRESS ENERGY = W.R,E.C. <br /> =PLUMBING s �� I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER C ANY Lp(,)e s t t,+ytZ Ce"j1 erg-1"(-._L e <br /> SIGNATURE er ERED I Y!N FEE cuaREn I Y/N <br /> Address ' : 731- -3 CA-1 il FL- <br /> License# C )*3 Ci`3 <br /> 32b'7� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N <br /> Address License# I <br /> PLUMBER COMPANY F <br /> SIGNATURE REGISTERED I YIN FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRE1 Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREn I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItl111111111111t1i11 <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 onsilo,Construction Plans,Stormwater plans w/Sill Fence installed, <br /> Sanitary_Facillties&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL_ Attach(2)complete sets of Building Plans plus a Life Safely 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,Stonlwralor Plans wl Silt Fence installed, w <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now 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 /> ��.�..►�..'s: ' 6' ' 1.1-.1 t.i r . 1 . H i l l . 1 1 l i t l i t 1. ' S' <br /> Direction <br /> F01 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) rf` <br /> Rerools if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways-needs ROW ' <br />