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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> ►R Building Department w <br /> V <br /> Date Received �V <br /> 1 ■a a■ a a a Phone Contact for Pe�it i`was <br /> . <br /> Owner's Name A158A5 LOKN?qvvOW/atA Owner Phone Number U�3 7�G�� 7 <br /> Owner's Address 1 1-1-9/3 1 8711 MI FL 335'H Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address 2 <br /> JOB ADDRESS (1 13 I$'H /911C-_ Z1411/_S FL 3Jy J1.1 LOT <br /> SUBDIVISION M 00AE'S FIRST PARCEL ID#I I Ll 6—2 1—' 00/0^00300^06&1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION © BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Row NEw 6-2 VecTy2jc clacun, roa A <br /> BUILDING SIZE �I S Zo SQ FOOTAGE q0� HEIGHT S?0/LI N <br /> --ESE IL AL-C CX WILIE-IL 1E*1L WIE X-NE ILI CFI C"ti"i"L"S i ii", <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ 300 po AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address /�License# <br /> ELECTRICIAN COMPANY t3j9y /9/2eg 191G <br /> SIGNATURE REGISTERED Y/N FEE CURRENy� Y/N <br /> Address 7 f2UT1 LLI O cr t� k 3 6 License# ER 00 106 38" <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I 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 <br /> Address License# <br /> ■sritaas■■aittiors�as�aaaaQ■■s�aa�r��•s■�siasa®iaa�sitaa�ataea®�aa �taa®I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 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-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormmwater 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 /> Directlons: <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 />