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ge_# JY�Z65 <br /> 8'13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting (�• ) -J O <br /> n T /� ��3'S -Co981 <br /> Owner's Name �ff(,}A (5 �V��o/�r,+ham LDq V i Owner Phone Number <br /> Ownees Address % 194 1& ► / 5 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 53 j5elfra Dr nulls FL 3�2 LOT# <br /> SUBDIVISION PARCEL ID#hai_07 10 07/-0030 OQ3Oo <br /> (OBTAINED FROM PROPERTY T=Ttcel <br /> WORK PROPOSED e NEW COIVSTR ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL` ^_ <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $�Q�oo, VALUATION OF MECHANICAL INSTALLATION <br /> =CAS = ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE_- REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREK Y/N <br /> Address i License# <br /> MECHANICAL COMPANY t7L3 Fo ne 6aS it Al C Mi <br /> SIGNATURE qq REGISTERED Y/ N FE CURREn Y/N <br /> Address / ` 5 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Addre.s License# <br /> Irr � lff � � rrr � � tttlrti � � rr � � � � rr � r � � � � � rrrr � rtrrirr � frr � � � irfti � � rrr <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 subdivisionsllarge 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 Pernit'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 /> 3 :-F�' <br /> Directions: <br /> Fill otr.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. ROW'..needs. <br />