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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 — <br /> Owner's Name Sl,��®S . K*oxca. Kia-)Mra A/%f, 1Z, Owner Phone Number 96 `2T2Z' <br /> Owner's Address J 7 3 �- R t4 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address fir, <br /> JOB ADDRESS �2 39 �- 0 r\ r LOT# <br /> SUBDIVISION F PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME t = STEEL = <br /> DESCRIPTION OF WORK �� vc <br /> BUILDING SIZE SQ FOOTAGE 4 HEIGHT b <br /> =BUILDING $ c 7�e O VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �bj�,,=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> J <br /> =GAS [] ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY kCJ�Q_ �JyLce_ <br /> /. <br /> SIGNATURE s REGISTERED Y N, VEE CURREN Y./N <br /> Address 50`( l sfi S� License# I l-7 9 5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURt REGISTERED .YJ N ._ FEE CURREN Y/N <br /> Address License'# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREII <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN" `Y/N <br /> Address -License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN ,, FEE CURREN Y/N <br /> Address License# <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 aftersubmittal 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 /> _``Directlons: <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />