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813-780-UD2U City of Zephyrhills Permit Application Fax-813-780-DD21 <br /> Building Department <br /> Date Received Permitting 13 �{3 3 _ 3 S S' <br /> Phone Contact for Per 7 <br /> wait a aa! aataa <br /> Owner's Name DES �R�FFi�r Owner Phone Number <br /> Owner's Address 79/8 / F,?,9H A17 k.,#0 GaCA Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address p <br /> JOB ADDRESS 79/,p /0JE,EL440-1Td,"11E �/2C�£ LOT# �3 <br /> SUBDIVISION C-RESTY Eta /Tr�ls PARCEL ID# W Z r-Z•f'G/"'166000 - 13 90 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> CONSTR ALL REPAIR e SIGN = = DEMOLISH <br /> INSPROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK C fZEsiDE/I�T�fj4 G/tA/1/G� maT <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> .-CLYLCL LLL L'Lii'LLLL L-!'LL"Li CLlC"L''lLCL-LCCL"Liiiii"L"ii"C!"'LZ iLZ i't i"L LI L�LLLL-L"C!-1 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL Is <br /> GrY3 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = 7ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LZI N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L11 N <br /> Address License# <br /> MECHANICAL COMPANY R-1-14161-TY I/ &giTIN6� '�L ewu S <br /> SIGNATURE REGISTERED Y/N, FEE CURREN I Y/N <br /> Address �97�dVASSIfeNEtS�Tt.S /ft/E �P���f. License# I cA'r- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> a a a a a a a a i a i i x a a <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 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,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 /> 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$750D) <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 />