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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> L <br /> Date Received <br /> Phone Contact for Permitting <br /> _­L"0CEEr733nnrErrrr11TrM ................ .... .........I"rm...... <br /> Owner's Name TOO..'(wire, uhpl) Owner Phone Number <br /> Owner's Address C�2u' kvj Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F c�2`4 5it\fe'r"-Ao 9-0. LOT# <br /> SUBDIVISION 0, o PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE 0 SFR F-1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK )�Vc p4xy�- <br /> V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> "Hiiiii 44W44-4L 14 <br /> =BUILDING <br /> 2,990 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ 71 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__1 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> H1 1114+0 I'l H 1 1 1 2 l l <br /> BUILDER COMPANY Ac,_jv4\.Q_ <br /> SIGNATURE REGISTERED Y/-N FEE CURREN Y. N J <br /> Address 6ql Ist- St- License# F1 1-7.9 S <br /> I S <br /> ELECTRICIAN COMPANY <br /> SIGNATUR' REGISTERED FEE CURREN LX/_N <br /> _J <br /> Address License'# F <br /> PLUMBER coMPANY <br /> -1 REGISTERED LIL N SIGNATURE _ J FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED LYLN J- 'FEE'CURREN' <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/-N FEE CURREN L <br /> Address License# F__ _Y./N_J <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,St6rmwat6r 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 atife 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 Pldihs,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 /> `*PROPERTY SURVEY required for all NEW construction. <br /> ....................... ............... .......I........ <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$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 SOwers Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />