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813-780-0020 City of Zephyrhills Permit Appl!cation D lSS/ Fax-813-780-0021 <br /> Building Department N Y G �J <br /> Date Received r� a i phone Contact for Permitting tJqj <br /> Owner's Name (ai)a t-Q-6 a v-0-fr1 ''I Owner Phone Number' 13 - 3 a - 3 v 7 a <br /> Owner's Address U OX {Q9 r! h i'll.S F Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� ) p <br /> JOB ADDRESS 2 J, l� r) `h i 5 LOT# <br /> SUBDIVISION L U(I ID# 11-Q� - a I - 60I D<l d O o0 - 0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q' COMM ':OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Qn /� �^ FRAME rSTEEL �Qj �J� <br /> DESCRIPTION OF WORK f-rbor l �5 l�fl t C15 114S�1E �pS r��lO a `" S /(r� �7t: U6d.O h a" <br /> BUILDING SIZE SCI FOOTAGE= HEIGHT � 31'a sic e. <br /> �UILDING ��D o VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING ($ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Yj N_j FEE CURREN, <br /> Address - License# <br /> ELECTRICIAN COMPANY `• <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ NT FEE CURREN Y!N <br /> Address License# �� I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address License# <br /> :OTHER COMPANY FT�aA R <br /> SIGNATURE JU! N I FEE EN !N <br /> Address S� S h (h[115 R License# 77ff m5565 <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 subdivisionsliarge 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' onsite,Construction.Ptans,.Stormwater Plans w!Silt Fence installed; <br /> b Sanitary Facilities.&'1,dumpster.-Site Work Permit,foe'aflmewprojects.All cotnmerdlal.requirements must meet compliance <br /> P SIGN PERMIT Attach(2).sets of Engineered P.•lans. <br /> I' "':PROPERTY SURVEY: <br /> i required for all NEW.;construction. <br /> Directions: <br /> Fiitsout application completely. <br /> 1 Owner:&,Contractor signback.of'application,,notarized <br /> If'over$2500,a Noticeof Commeriaemerit,'as,requlred. (A/C upgradesvver$7500) <br /> .'Agent(for the contractor)or Power of Attorney{for the owner}'would be someone with notarized letter from owner authorizing same' <br /> VVER THE COUNTER PERMITTING ,,(copy,of:contract required) <br /> `Reroofs&S irigles - ewers-.` = Service`Upgrades AtC Fences.{PlotlSurvey/Footage) <br /> ! a s ;,'•. <br /> .!iv_eways-Not.over Counter.if`on odbliC.•roadways..needs ROW <br /> ;.• <br />