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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received M q2Q <br /> Phone Contact for Permitting <br /> Owner's Name Aac� Owner Phone Number _7,T7 `42-1-3067, <br /> Owners Addressl .3 t 02_q q44) Atx Owner Phone Number <br /> Fee Simple Titleholder'Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 53so2_q A,.w_ LOT# <br /> SUBDIVISION PARCEL]D# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR . ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME0 STEE?1 = <br /> DESCRIPTION OF WORK 101 A TE <br /> BUILDING SIZE SQ FOOTAGE= HEI!� <br /> A I <br /> BUILDING 1$ • 00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE r Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES' N <br /> .................. <br /> HHHHHHHHHHHHH 11 low* <br /> .,BUILDER COMPANY <br /> SIGNATURE -,REGISTERED FEECURR�" L <br /> Address C license# i ti—W 05 513 ELECTRICIAN COMPANY <br /> SIGNATURt REGISTERED Y./ .,FEE CURREN L_Y_LN J <br /> Address License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED L_Y/`N`J+ FEE.CYRREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y:/'N J_ IFEE CURREN' <br /> Address -License# F_ <br /> OTHER compANy <br /> SIGNATURE REGISTERED I Y+/_N_-1 -FEE CURREt, L Y,I N.-J <br /> Address License,# <br /> RESIDENTIAL Attach+(2):Plot Plans;(2),sets of-BuIldIngPI,Plans;(1);set of.,Energy Forms;R-O-W Permit-forpew.construction, <br /> Minimum ten(10)�vorkilqg",d�iys aftdr*i;ubmittaI date:,Req"uirdd-onsite'ConstrucHon Plans,Storrnwatdr Plafivwl.Slit Fence installed, <br /> Sanitary'Facilifi_eIi&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(16)working days-after submittal date: Required.onsite,Construction Plans,Stormwater Plans W1 Silt Fence installed, <br /> Sanitary Facilities&I 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&Contractorsign,,pack 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 .(copyof contractrrequired) <br /> Reroofs If shingles Sewers Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayi-Not over Counter if on public roadways..needs ROW <br />