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1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department II �00 <br /> Date Received Z Phone Contact for Permitting <br /> itttiin ( �)3 ) Jr�y — LAIU`� i <br /> ;IIta& Itoa a a a a a AL a IF a a 4L W ar 0 Is iffAF 9 <br /> Owner's Name CAA4%r, BYein&kOwner Phone Number 5tol—3061- 558s <br /> Owner's Address I 64H1 BrodFordiZ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [��_Wl BrodFord0 R LOT# <br /> SUBDIVISION ELS Or pasco PARCEL ID# - - 2I Z - t70 00 - OS-10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT = SIGN = DEMOLISH <br /> Ef INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK 5C re?, I iAlialb I Un -vr +r Q ss rooc,, -F <br /> BUILDING SIZE F SQ FOOTAGE I SSSq HEIGHT <br /> f�r���>��€-€JUW-€c�c� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 <br /> l <br /> =GAS = ROOFING 0 SPECIALTY = OTHER U A)vv <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N U <br /> BUILDER OMPANY 14clr-)5 t10 Y1 Cu5-bm CoVViM(,4;n <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 8160 V'e ni rc. Cbve. Tarn a 33 65-7 License# C�G 0 58 2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I 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 00-ns 6 I r1-mir-1 <br /> SIGNATURE Ah5 3 G f1� Ilrl eerir� REGISTERED Y/N FEE CYJRREN L11 N <br /> Address 102-12 Alokm+f S+ on R License# 1 b u(�1 <br /> I I.I.I I_I.I I-I-I_I€.I_I I_I.9I_I.8I.I I I_I.I €aI2.I I.#I I I-I 1[.I I I.1.I.I LI I_I.I I €IE_1<I.I I LI I_I-I.If_I..1€.I.hI 11 <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 Facilides�l_dumpster;_Site_Work Permit for subdivisions/large projects----___ <br /> M <br /> COMERCIAL 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 /> 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 />