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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> FLPermi46t35unf urn,Co (em,,;O <br /> Date Received - Phone Contact for Permittin 13 _ yo 7 <br /> legaat,aa [.11ii // / <br /> Owners Name /31e e 6 r e h C Owner Phone Number �!(9 ss 7- l 3 3 y <br /> Owner's Address C9-I CO b b ie MiSS s 4 til4' 15 Owner Phone Number —� <br /> 33Sy/ <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �'L D D b 1 S Zs! 1 / I LOT# ._ <br /> SUBDIVISION s l If x_Zj 0 PARCEL ID# (] - L 2 1 7 0 10"00100 - U cq <br /> (OBTAINED FROM PROPERTY TAR NOTICE) <br /> WORK PROPOSED NEW CONM ADD/ALT = SIGN = _ DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE SFR Comm OTHER I PV r.0017mDc.,,i+e_A t0 !i ten- C <br /> TYPE OF CONSTRUCTION BLOCK FRAME' (' = STEEL = Qp '/ <br /> DESCRIPTION OF WORK Yh c)4,rz 1l I n � r6l T o iou n� 5 ICt r' D V O r'7 4 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> T <br /> =BUILDING $22 U 6 4o VALUATION OF TOTAL CONSTRUCTION: 46 <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY '= W.R.E.C. <br /> =PLUMBING $ 33 <br /> S a/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J 6%� <br /> b <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No' c" <br /> BUILDER 9ti C/ `' Senn;rY 5`OMPANY GU Yi r u Zr+SIEa�la�Jesn SeIUICtS hG <br /> SIGNATURE (/ �cu G. 'Soc REGISTERED Y/N FEE CURREN Y/N <br /> Address 526 D ��^i li•' ,F '8 1 U / lu^ 'k G. ?(9 3 License# GC 07(l . <br /> 55 ht� <br /> ELECTRICIiW�` no COMPANY SC)n 1^Ur% �h Spa rr�,Fr S�ul�, hG <br /> SIGNATURE ��vL Sol c �lREGisTEREo Y/N FEE CURREN Y/N <br /> Address, 52U� (cr,,, u�e�f% rlt� !`C�n F[ 33b3N License# l 607 <br /> PLUMBER COMPANY <br /> SIGNATURE ' REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY- <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN LY.LN <br /> Address License# <br /> a i a■■t I a i[!a!-a.t.t.l.i.a t,1 a.i.t.a-i t![a!!'![i!'[:[t i a.t[-la.l.a a i.l.!Li a.[_i-l.i.t.t t.l.t a <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 wi 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.A I commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *—PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notiee 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(Piot(Survey/Footage) <br /> Driveways-Not over Counter if on public readways..needs ROW <br />