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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /` SCURNESUMqt'�, � _ <br /> Phone Contact for Permitting <br /> aaaateaaFViroRve <br /> ataaaOwner'sName 10'__' i1� ..��-�-c Owner Phone Number <br /> Owner's Address 1•Oi, K 5l J So 125341Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 1 q °6 JOB ADDRESS .)Li p WA zqillAi ? 't L- LOT# <br /> SUBDIVISION PARCEL ID# 35"a5-Z 1- ®eR300 G€3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN � = DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q L <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE d►•� HEIGHT <br /> L'CLL-aa'LLa`a:CL'CC-L"CLCXWLf.L CLa aa'=•.L L L L L L C C a a a L L L C a L LL C L■.a a-a WN:L C-LLa-Ca LC 4L-9 <br /> BUILDING $ ©0.,00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL oO AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> 7 <br /> SPECIALTY <br /> FINISHED FLOOR ELEVATIONS GAS ROOFING 0 FLOOD ZONEA OTHER <br /> AREA =YES NO <br /> BUILDER COMPANY or't�la-V� f-I CO.—L,(LC <br /> SIGNATURE REGISTERED Y/N I FEE CUMEN I Y/N <br /> Address I 1u)D'7Aye. W.B na mkz) r License li�7J 1 <br /> ELECTRICIAN COMPANY 1 Q m 6P.1h�. <br /> SIGNATURE- REGISTERED_ Y/N I FE URREN I Y/N <br /> Address [/ - License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N 'FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE- REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> aal Illegal I III lagalt''Il allililt istJ1l1 <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,Stonnwater 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,Storrnwater 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$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 />