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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �t� 7 <br /> Date Received Phone Contact for Permitting1,951 ) 22 Z— "T T-Nvv"06a <br /> 44 E1L'[YY <br /> Owners Name 2 /► /LftGl• V• Owner Phone Number <br /> Owner's Address �a1GC Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address }� <br /> JOB ADDRESS W*722 8VMa P 4 i lei'%, (Gjiy CL([/1 LOT# <br /> �SUBDIVISION & Q Y k PARCEL ID# 35 26 V O/'6/0 OOGDD OOOD <br /> (OBTAINED FROM PROPERTY TAX NOTICEI <br /> WORK PROPOSED NEW CON STR B ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q ',BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WO�R[K�/� ��(/ v« 6 <br /> 0.4 GY wv� <br /> BUILDING SIZE ( . /CT SQ FOOTAGE HEIGHT <br /> �t:"L�CC'>E"�rC["IL-E"eE"CCL'i[X'i"C"YLt-CCCX <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ / t%Q AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ( V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN 1 77 N <br /> Address Licensee# <br /> ELECTRICIAN COMPANY e5�(ti1!?lYN J Q e G! IC1L� L� `�LG <br /> SIGNATURE ,. ,/ REGISTERED Y/N FEE CURREN Y/N <br /> Address �(oZ( a r/LWriis� License# Ecfsoob729 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address License# <br /> [.[.![[!.![3.3-1[ 1 ![1l.111i1[[.[-[![;[-[.['!l,l.[![[[[!!,Il.[.t[i1[!.[.[[[[![ �[!1l.1 <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/Sift 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-0 W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Constriction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Al commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8.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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />