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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department n <br /> Date Received Kck(-(ZK 1) Z o 2 1.0-1 3'2j3 — SUO o� <br /> Phone Contact for Permitting <br /> Owner's Name ,rDt(�L�` p I LLC Owner Phone Number "LL 1 ` U 59 18 <br /> Owner's Address 'TBO �t D I,UA— S l r Owner Phone Number 8�3 8Z L4` L <br /> Fee Simple Titleholder Name DQ n 'FL 3 Z'<<T Owner Phone Number <br /> Fee Simple Titleholder Address I Lv - <br /> JOB ADDRESS 67 0 l DoL r LOT# <br /> SUBDIVISION a (e Caro �tPARCELID# 02 2- Z� OOAO 03900 QQGO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEI CONSTR e ADD/ALT = SIGN Q { 1= DEMOLISH I <br /> INSTALL REPAIR istz"_J Li V L/1Q FQ L l l+V <br /> PROPOSED USE = SFR Q COMM ® OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q 1 FRAME = STEEL = <br /> d ` <br /> DESCRIPTION OF WORK t Q 1 `U r l a ck p&QIR-t s I'L(t n lis <br /> BUILDING SIZE SQ FOOTAGE R 1 0D C <br /> 1 HEIGHT �J ` T <br /> =BUILDING $2� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 6�l C J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING `® SPECIALTY = OTHER G/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN <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 —7 <br /> Address License# CCC, (3� !O r L <br /> � p �[ <br /> OTHER (� e'Nk COMPANY 1V(�0 W'U FOO[L C C-O rg7dtl% LLk- <br /> SIGNATURE 'v REGISTERED Y/N FEE CURB N Y/N <br /> 7 <br /> Address License# <br /> ! IIl1I!!!! !!! !!!!!I!!! ! 1llt!!!! ! !!!fill !!!!! i!!!tl!! ! ! !!!! !ltllll!! <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 subdivistonsilarge 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 /> Dlrectlons: <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(far 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 />