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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting SIN sor7ri <br /> Owner's Name %-t 1`6 Owner Phone Number A13-714 <br /> -11 J r <br /> Owner's Address %V I,LJ f1aA*A_TAo*W1 S40ft+l Owner Phone Number' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS WID PaJeA $+rW+ *SSSMI LOT# <br /> W <br /> 21-W76---:00300- <br /> 1 1V4MJ 0 PARCe0al <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSEDNEW CONSTRF--1 15 ADD/ALT SIGN DEMOLISH INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q _J <br /> DESCRIPTION OF WORK CDAPre-�e &V I Me";ft toot5 ncne& <br /> BUILDING SIZE X "50 1 1 SQ FOOTAGE HEIGHT <br /> ..........1. W44444444 <br /> =BUILDING J$2.S,ID,00 00 1 VALUATION OF.TOTAL CONSTRUCTION <br /> =ELECTRICAL J$ 431 t),On 60 AMP SERVICE t f O PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> 1$ 3. 000 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F__J SPECIALTY OTHER V44 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YE8-',, NU" <br /> HHHH ........ <br /> BUILDER <br /> COMPANY lqome-rb&lAr r <br /> 10 <br /> -SIGNATURE REGISTERED, Y/,N-j-,,,'1�2FEE'CURREN J Nw,� <br /> Address Licierise 36P <br /> 43 <br /> /I <br /> ELECTRICIAN <br /> COMPANY <br /> SIGNATUW9 Y�4 FEE.CU REGISTER I Y/W_� "" <br /> KREN ty/ <br /> Address �! License <br /> It v11v <br /> PLUMBER COMPANY 4 <br /> ,SIGNATURE REGISTERED Y/ N, -FEECURREK 15Z�� _)2 N J <br /> Address 04LJIP c w 3 License#-WCO'Tic 9 to <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Yf.N FEE CURREN LILN J <br /> Address License 4 <br /> OTHER COMPANY <br /> �IGNATURE -RE [STEREO Y/ N7F FEE CURREN L_yLN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets:of,Building Plans;0)set,of.Energy Forrns;'WO-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 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 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 /> - - -------------- - -- ------- <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. (AIC 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 S;aw6rs Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not overbounterff on=public.'ro-'adWa'y.'s..ne,'4*iii-ROW <br /> VQ <br />