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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date ReceivedI It,1 l Phone Contact for Permitting �°5 "� rr <br /> b, f <br /> Owner's Name Gbr; I Men4t66o Owner Phone Number ?S2 r w by— w-? <br /> Owner's Address 33 /�PS"�Yi�'�� h "Zee Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderrA�ddres�s7 <br /> rs JOB ADDRESS ( Wo,4ff b6 w fit. In Zv A/ I!(, T3 5 N 0 LOT# (3 <br /> SUBDIVISION T�i dace �Ve� PARCEL ID# 2 N—,2 Z l —ol ov— C, <br /> g; (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> ;':TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> ESCRIPTION OF WORK <br /> `n BUIL'DING SIZE SO FOOTAGE -$ v HEIGHT <br /> �BttILDiNG $ `/L oO VALUATION OF TOTAL CONSTRUCTION <br /> y =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . .-._. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address JJ 1 1r1'eS n�°� �R J n ZP 1✓' wts �L License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN LILN <br /> Address License# <br /> 1111111111111111111111111111111111111111'111111111111111111111111111 <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 subdivisionsflarge 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 /> . . . . . . . . . . . . . <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 />