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813-780-0020 City of Zephyrhills Permit Application F.813-780-0021 Ili , y'-0 <br /> Building Department <br /> P <br /> Date Received Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 1 I 1 I t ry <br /> Owner's Name ryLt/ W 1AJ Owner Phone Number O7/ <br /> Owner's Address 3 L 4 WC&ce W v— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address A r�r <br /> JOB ADDRESS I., w DL / ` LOT <br /> tU <br /> SUBDIVISION PARCEL ID# O• 6'L 2D-VDOtb- Mtn <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION p= BLOCK <br /> FRAME �+ �� STEEL Q <br /> DESCRIPTION OF WORK4°n71L <br /> BUILDING SIZE g-w' SQ FOOTAGE IZS HEIGHT <br /> BUILDING $ Go VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ t <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ]� <br /> =GAS = ROOFING Q SPECIALTY = OTHER n�p J ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1 11 v �J , <br /> BUILDER COMPANY L7�11 N � PdI4 ffOA Q.. <br /> SIGNATURE ►y REGISTERED N FEE CURREN Y/N <br /> Address 1� S_ b / License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F7 REGISTERED Y/ N FEE CURREN Y/N <br /> Address 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 <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111 <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 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 /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />