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813-780:0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received c2 0 spa Zj Phone Contact for Permitting <br /> =Pmll"I [330333:CC[11:[13CEI333:Cl,[133333=,,I........rrTTTT7= <br /> Owner" Owner Phone N 1 <br /> s Name —ja ee umber <br /> Owner Phone Number <br /> Owner's Address Is?F,5_6 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> I - <br /> JOB ADDRESS 13 Z?,3 (e 2� I LOT III <br /> SUBDIVISION <br /> //0,-Vow <br /> 1 PARCEL ID# V Q-r- 62 1 0 0 7 0 (0 6000 (10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q = DEMOLISH <br /> e INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q Comm � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE F HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ---_-� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 6_�_O , -7 <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO. <br /> _HHHHHHHHHHH1 +11444 111111 i I I I I i I I I I I I I I I I I I I I I I I I I H4 I H I I I I I I i I I I I I I i+i I H I I I I H-i H 1+1+1111111 <br /> -BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/,N­ .FEECURREN LY/N <br /> J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATUREJ FEE CURREN REGISTERED YJ N <br /> Address Licensew <br /> PLUMBER COMPANY'_SIGNATURE REGISTERED FIEECURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ'N - FEE CURREN <br /> IF <br /> Address U21;q3l //J- k-4--j- -30 -License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Lyl N J FEE CURREN <br /> Address License#T_ <br /> 6 N 2 N 1 R N 2 2 2 N 2 a <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm-it-for new construction, <br /> Minimum ten(10)working days aftersubmittal 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 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 Plans,Stbrmwater Plans vVI 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. I <br /> ""PROPERTY SURVEY required for all NEW construction, <br /> - <br /> `Directions: <br /> i[ns. <br /> Fill out application completely. <br /> Owner&Contractor sIgnback of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (NC 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 PERMIT71NG (copy of contract required) <br /> Remofs if shingles Sbwers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DrIvewayi-Not over Counter if on public roadways..needs ROW <br />