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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department y <br /> Date Received Phone Contact for Permitting f In <br /> Owners Name HVAN r7 .L 1 _ SUE Owner Phone Number, <br /> Owner's Address 1 33 Lr'�1 Urr�L- H A AkMC7 D(Owner Phone Number <br /> Fee Simple Titleholder Name 4 Q O V G Owner Phone Number <br /> Fee Simple Titleholder Address I Move:- <br /> JOB ADDRESS 13 7 33'7 LAVA-C.L NAMMLO C-r- -D(L-' LOT# <br /> SUBDIVISION O AK aVN I PARCEL ID# 3 l " jr. 2-( • o(1 3 u' D000 J' oLt o 1, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION I= BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ V G VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY /'= W.R.E.CC.� <br /> =PLUMBING $ .1q, (i � v I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f !!! <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �7^ r <br /> BUILDER COMPANY l IZUP!L l'E/,x-C_ X cc— PT^L rL <br /> SIGNATURE I� REGISTERED Y/N FEE CURREN Y/N <br /> Address 6't ()S"t6EIJ r�aJ, 3469-3 1 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I 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 Y/N <br /> Address I License# <br /> I.l.I.IIIIii-a I.II.II■II■.IIIa III1E.10IIIIIII.II.IIIIIaa9aIa V1aI_II IIIIIia IIaI€1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1),set of Energy Farms;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 /> 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />