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City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Date Received d151_,e-W6)(IJAk-C).�rk0r+00, COM <br /> Phone Contact for Permitting <br /> a all oil 11ir—rel <br /> Owner's Name n C Owner Phone Number <br /> Owner's Addresslaw)2, efo pn. 1) fto(A 3�L Owner Phone Number <br /> 'Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 64MU'261 v,,--, Zboty -33 54-) LOTS 151ve-13 <br /> SUBDIVISION PARCEL iD#J <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED LJ NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> PI INSTALL REPAIR <br /> PROPOSED USE SFR Q 'COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Neu\ �1mlv (;wJy re siJem,c- 4 ecl 3 o-Rn I <br /> V_ \J <br /> BUILDING SIZE SQ FOOTAGE Z1S37 HEIGHT=BUILDING $1 VALUATION OF TOTAL CONSTRUCTION 0�0 I <br /> 7�ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> EPLUMBING <br /> i$ <br /> 1,000 <br /> �MECHANIICAL 1$ & 00; VALUATION OF MECHANICAL INSTALLATIO <br /> =GAS ROOFING D SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 132, 20/ FLOOD ZONE AREA =YES NO <br /> 11-1-4.4 A w 1 1 <br /> BUILDER COMPANY Da,L 0 <br /> SIGNATURE REGISTERED Y/ N FEtCURREN Y/N <br /> Address Iki02— T�e)t com .2);- T4 N FFr License# Ic-sco'scm2 <br /> ELECTRICIAN > COMPANY <br /> SIGNATURE REGISTERED Y I N FIEE_CORREN Y-7 N <br /> Ad-dress jdirks No License# I 6c,12, Q 0374713- <br /> PLUMBER > COMPANY alin Inc, (Z <br /> SIGNATURE REGISTERED Y1 N 'FEE CIARtN I - YIN <br /> Address $-6, Rzv 21Q, MW 3361i.� License# <br /> MECHANICAL I COMPANY IQe— A-IV,PM 3 <br /> SIGNATURE 1--e <br /> REGISTERED --(/'N FEE CURREN <br /> Address 0 7 7--)rn lre t 0 t�J rA P,6-t,.31 SD License# 633 <br /> OTHER <br /> COMPANY fla A Lc_a�w 204FI-C,SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address License# ccr :13 2-5-2 33 <br /> RESIDENTIAL Attach(2)PlotPlans;(2)sets of Building Plans;(J)set of Energy Farms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsharge 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 wt Silt Fence installed, <br /> Sanitary Facilities&I durnoster.Site Work Permit for all new projects.All commercial requirements must-meat compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> - - - - <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/Footage');;­_ <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />