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813-780-0020 City of Zephyrhills Permit Application Fax-813-780 <br /> Building Depanment j� la R1lA o► <br /> go <br /> Date Re ,(ed- tAblkff <br /> re�h�s,Phone Contact for Pei ( g 13 -0 _ 4 Ij u <br /> &11114 <br /> Owner's Name p Irknnno Owner Phone Number 3 \ <br /> Owner's Address e QUh Owner Phone Number <br /> Fee Simple Titleholder Name (Owner Phone Number \ <br /> � 1 <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS Ell-1 , F p b -e n ? 336 Ll I LOT# <br /> SUBDIVISION 17tver0( 0 Rainch PARCEL ID# 32 25-21 ` 01,©0 - (J 1 g00 - OObo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q Comm = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Screen P Oov '1 L 5(r-eer) rCoc! rrd Cth r r <br /> BUILDING SIZE 2 j�0 5 �'I �l <br /> SQ FOOTAGE �L°• HEIGHT <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ U AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> l <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I =YES NO OF Iff <br /> ((•~•� <br /> v <br /> BUILDER COMPANY �l��r-FSj�err� CL C� -tt f <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address o 1.3 VQY1-}IA re Co-vt 1 -,3 License# I RE w;-sG-sZ_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y.f N FEE CURREN Y/.N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> i <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N : <br /> Address License# <br /> a a.a.a a_a.a.a_a_a i.a.a a a.a 1.1<XIE a.a_I.9.a a.a a a a a a a.a.a.a II a a a a.a 9.1.1_1.44-1_I..9.1.9_3 a_t4, .a_If t_1 X 1-11-31.l <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,'I ' 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$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 /> i <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />