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3 �S <br /> Oe_� <br /> , v v'__� a 71 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Date Received Phone Contact for Permitting g� "1/ <br /> 1 1 <br /> a aaaaaaa c aasaa <br /> Owner's Name '� SSD1!l lT LS Owner Phone Number � 3 cr 9 `7 <br /> Owners Address Avt— gfYl�G Owner Phone Number <br /> asp <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> // <br /> JOB ADDRESS 5q3 6 G .S LOT# <br /> SUBDIVISION PARCEL ID# • 1 —00 i O OD 0( t D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 1Q FRAME = STEEL = <br /> DESCRIPTION OF WORK ew.ram Q 1(lST1�1 V(C,J S C -�er r I ce e x tS -I., <br /> irevuzz n <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> IC+CiCC <br /> rE�jB'UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ D�QQ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address fJ LJicense# / / T_ <br /> ELECTRICIAN COMPANY �c%f� �r -r-4 G SIC <br /> SIGNATURE /��� REGISTERED Y/N FEE CURREN f Y/N r ? <br /> Address off- /WT t� Li OL f U 3`4W License# a— 00 qd SJ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> tttlttii[iIIilit!■aIIltt[li[!■■ittttltt8l[i!8![iila[IItttttt[[tt[I[i![i <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 onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.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&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 /> DirecUons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required.(A/C upgrades over$7600) <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 />