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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 Q J 3 2 - 23 <br /> Owner's Name IJ�IJt lJ • �J�1 �� Owner Phone Number O J' `Z 23D-I <br /> Owner's AddressFw o t Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Si-- •� <br /> JOB ADDRESS �1 M ��� `�, �' r��� S rl�3 v S�Z LOT# <br /> SUBDIVISION PARCEL ID# Z W Z O $ -00000— U S Z a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED R <br /> NEW CONSTR e ADD/ALT = SIGN _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER o <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 14 bMi <br /> DESCRIPTION OF WORK ��►1 CP.. 1RS�Gl`�(� (�� W Sl�e- N) �� 1 <br /> BUILDING SIZE SQ FOOTAGE= ` HEIGHT S r C S 12 i <br /> Z BUILDING <br /> \ $ Z.L� . 00 VALUATION OF TOTAL CONSTRUCTION <br /> � ) <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> r -d/ <br /> =GAS = ROOFING Q._ SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' > (NO) <br /> BUILDER _ COMPANY <br /> SIGNATURE -� REGISTERED Y/.N - j,_ FEE'CURREI`::- ;X.]N:; <br /> Address m License,.,;#• .•__. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/-'N FEE CURREN LYLN <br /> Address "License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N'`' FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N.. FEE CURREN <br /> t <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2),set&of,Building Plans;(1)set.of.,Energy Forms;R-07W•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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Bullding Plans plus 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 Plan$;•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 /> ai ****PROPERTY SURVEY required for,all NEW construction. <br /> `Directions: <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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Flot/Suryey/Footage) _ w;._, �;a _•.a=:-�,� <br /> 'y� as rr•"I]i; l�tl{=Usti. :"" :; <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 9' ;. ;;zs `i : "It`=ii?,'°• �. "' <br />