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13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name IG AQ_ P&-WZY Owner Phone Number Sl3-4a8- 4'1 <br /> Owner's Address r34 3 vb S-r zmtj's Owner Phone Number <br /> Fee Simple Titleholder Name 3O f L) JI9,0Fffi6 f r- Owner Phone Number Fly- a <br /> Fee Simple Titleholder Address S34 3 $T ZN l u..S <br /> ` JOB ADDRESS 3 IME�DOW00o 7,6A4 IiIwS rL 3$9' LOT# 7� <br /> is <br /> SUBDIVISION IVADowoo EST,4.7-5$ PARCELID# �3—a6" aZ� - /�!O — 00006 - 07ao <br /> : <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> %.;.WORK PROPOSED ® NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> is INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM = OTHER <br /> r'TYPE OF CONSTRUCTION © BLOCK ® FRAME = STEEL = <br /> sv:;,DESCRIPTION OF WORK <br /> F`i:BUILDING SIZE 3, xs� SO FOOTAGE 89� HEIGHT �e 1tio <br /> f..- <br /> ©BUILDING $ 1q0 000 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ g DOD AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ 7 00 <br /> OMECHANICAL $ 000 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . ._._. ._. . . . ._. <br /> - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY .30/ L)6va0 f))2l 7-C012P <br /> SIGNATURE REGISTERED I W N FEE CURREN N <br /> g <br /> Address License# C/ C 1332a. <br /> ELECTRICIAN COMPANY <br /> SIGNATURE• REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY SAHTU5 Pc.vm 0/N6 I L( C <br /> SIGNATURE REGISTERED I C)g/ N FEE CURREt` N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address License# F <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 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. (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 />