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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received ?_CAUC�QiNk_08� Ji�-kOHW, COM <br /> Phone Contact for Permitting 015,o <br /> Owner's Name � Owner Phone Number rx <br /> Owner's Address IX.co m 'DK JaNnaa-MI 3�- Owner Phone Number <br /> -Fee Simple Titleholder Name, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADbRESS FIJ39 57':A-;;A 13i_4,aiDzi v 7k <br /> ,-wXA 3 3,S LOT# <br /> SUBDIVISION �Jem <br /> PARCEL iD#J__32-2S--21-o042p-4l 4-oo - aoqo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON ADDIALT SIGN DEMOLISH <br /> E5 INSTALL5TRE REPAIR <br /> PROPOSED USE = - SFR 'COMM OTHER <br /> TYPE OF CONSTRUCTION r Vi BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Uv J 1 &AN r 4 (p ecl s' o4h <br /> \J <br /> SQ FOOTAGE 2, 0 4 9 - EIGHT <br /> BUILDING SIZE - &�E�i I - Nf1h, <br /> =24UILDING 00 VALUATION OF TOTAL CONSTRUCTION <br /> F-71ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 'PLUMBING $ <br /> F_71MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EY ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS - I FLOOD ZONE AREA DYES NO <br /> fP,BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I <br /> Address Cl If le Com :7)1- :T4 M oa License# FC18 U),sftt�� <br /> ELECTRICIAN COMPANY . Eledn r <br /> SIGNATURE REGISTERED Y I N FEE—CORREN Y7 N <br /> Address IM00 54 1hils- phh u Z�:&J I License# I Ec A S 0 63:113- <br /> PLUMBERS> COMPANY " Ina(JAC-- A ' ahkm-0 bob 6 <br /> SIGNATURE REGISTERED Y/ N ' 'FEE CUIRKItN L.� I N <br /> Address 6 73hv PZ11 -53( License# C o <br /> MECHANICAL COMPANY PV_0qJv,3s,1Qe_ A-1 V, <br /> SIGNATURE REGISTERED f(VN FEE CURREN �/N <br /> Address License# Cr) 3 <br /> OTHER COMPANY ra <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN_JJ <br /> Address f-i C�w License <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(4)set of Energy Forms;R­O-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 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&I dumoster,Site Work Permit for all new projects.All commercial requireffients mustme6t compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> WWI N I I I I I I <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(Plot/Survey/Footag6),,-,-,'..', --.,- <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />