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= - �® �3a� <br /> R13-780-0020 City of Zephyrhills Permit Application Fax-els-7e0-0021 �V �J a <br /> Building Department ) �l <br /> Date Received (1,,J? phone Contact for Permittin b� <br /> Owner's Name n\\ f�q P'0YA s-12C{i �^� Owner Phone Number <br /> Owners Address I Z�V I 1^ R Owner Phone Number <br /> 3 k6C-b <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �+ �[+ <br /> JOB ADDRESS �I 1 1 I VZy- SAY'C I b Z rQL$�Y LOT# p� <br /> SUBDIVISION A if b YIN k MVIS I PARCEL ID# 1�— rn�I O 10D W'o o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR= ADD/ALT = SIGN = DEMOLISH <br /> INSTALL LX REPAIR <br /> PROPOSED USE ® SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK r- caAA1 lY L(ie- lt W I W l g I I <br /> BUILDING SIZE SO FOOTAGE Z HEIGHT I SA" <br /> BUILDING $;'7�1 rf ` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Nf ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREr I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <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 CURREA I Y/N <br /> Address License# <br /> OTHER COMPANY1dJXL-"1"S <br /> 9u,-,Q • <br /> SIGNATURE REGISTERED W�N FEE CURREN 7Y�/N <br /> t/�Q <br /> Address L 1(� MC—x U It <br /> 3 c�pv� License# U u 4 <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllt <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,Stornwater Plans w/Sift 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,Stornwater 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 /> Directtons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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 />