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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> w,Date Received Phone Contact for Permitting Q i C'Y— CAV-korf COM <br /> a a A I I A A I I I A A I A I It I 1 -1_1L <br /> Owner's Name n c Owner Phone Number <br /> Owner's Address I hr 7- 3�- Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Y3 j7uA elwu Dg, (-z 4-1 LOT# <br /> SUBDIVISION PARCEL ID# 32-25-2/-0 4o o - 0 1400- 0/.�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR AQDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 'COMM OTHER <br /> TYPE OF CONSTRUCTION t Vl BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK �5-1mlo resiJinLL t-) rci Lotv) <br /> \J <br /> BUILDING SIZE F- SQ FOOTAGE Z 37 Z HEIGHT <br /> A A A A t A a a A A I <br /> EEfBUILDING [$ 0 VALUATION OF TOTAL CONSTRUCTION <br /> F_1�1 ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 7"9 0 <br /> [�PLUMBING 1$ 00�7 VALUATION OF.MECHANICAL INSTALLATION <br /> lZMECHANICAL ' �$ — I - <br /> =GAS � ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 00 FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY IV\ <br /> SIGNATURE REGISTERED Y/ N FEft CURREt YIN <br /> Address (0(3?— T-e)-e I;- T4 License# 1C,8 CC)*SCm2 <br /> N COMPANY . <br /> ELECTRICIAN Cj2t4Q EleC:�n <br /> SIGNATURE REGISTERED Y/ N FEECURREN Y 7N <br /> Address 1X00 Z�4 Jb6s PkWo —S�4e-d License# I EC JS Q 63:113- <br /> PLUMBER > COMPANY nqo pAt0b;n0i <br /> SIGNATURE REGISTERED Y/ N 'FEE CU_RKitN I Y/N - 1 <br /> Address IRZY 33(il?- License# IC F-C 6 91 I <br /> proqj-e <br /> MECHANICAL COMPANY <br /> SIGNATURE L�2?"C. REGISTERED --(I'N FEE CURREN _tLy/N_J <br /> -q cf �JeSA TCA <br /> Address 15 License# u <br /> OTHER COMPANY tz A H-C-D)MI6 206 <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN 44 L_LLN _JJ <br /> Address License# 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;ci�)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 wl Slit Fence Installed, <br /> Sanitary Facilities&I 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/Slit Fence Installed, <br /> Sanitary Facilities&I dumoster.Site Work Permit for all new projects.All commercial requireffients 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(PIot(Survey/Footage'),:­-. <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />