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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ly Phone Contact for Permitting <br /> 33XCaXXEOXCC=,17rrrrrrrrrrrrr"Trrrr ...rrTTI"rTr ....rr <br /> Owner's Name f 9buc LLL.. 1 Owner Phone Number <br /> 3 <br /> Owner's Address �q VNIJl b\ t WS Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addrei F <br /> ,I <br /> JOB ADDRESS C-vii 0\)(d wrhiz; n SMZA(t LOT <br /> SUBDIVISION ry PARCEL ok 00 ID#1 VD-Mell —06ZO-L <br /> (OBTAINED FROM PROPERTY TAkNbTICE) <br /> WORK PROPOSED NEW CONSTR e <br /> ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR, Q COMM OTHER <br /> TYPE OF CONSTRUCTION- 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK I -Qu E <br /> BUILDING SIZE F I SQ FOOTAGE HEIGHT <br /> 1 11 a 1 14 <br /> BUILDING VALUATION OF TOTAL CONST ON <br /> =ELECTRICAL $ J AMP SERVICE PROGRE NERGY W.R.E. <br /> =PLUMBING $ <br /> =MECHANICAL - 1$ VALUATION MECHANICAL INSTALLATI <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODZONE AREA YES' <br /> .1 A ...... ................. <br /> BUILDER COMP Y L <br /> fl SIGNATURE REGI ERED L N FIEE CURREN. Y N <br /> Address 53;q I -License.# [CCL M19(sq- <br /> ELECTRICIAN, CO ANY <br /> E <br /> SIGNATURP REGIST N.. FEE CP ......FY/N-1 <br /> Address License"O <br /> PLUMBER COMPANY 771 <br /> SIGNATURE REGISTERED L 'N. 'FEECYRREN <br /> Address -License <br /> 7— <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y, "N .;FEE CURREN Ly N <br /> Address -License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YVN,J FEE CURREN LyJ N <br /> Address Ucense,# F_ <br /> 2 <br /> tl 111!:l-!1,1,! 1111111 111,1 1 1 11 11 H+1 11,1.1 111 a I I <br /> RESIDENTIAL Attach(2):Plot Plans;(2),,sets of,Building,Plans;(1):set of Energy,Forms;R-O�W Permlt­,fbr:new-construction,- <br /> Minimum,6f,(1 0)worldrig'Ab9s,after submittal date.,`Reqiiir6d-,onsite.-Construction Plans,8t6rmwater Plansm/Slit Fence installed, <br /> Sanitary Facilities&I durripster,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,,da'ys after submittal date:'Required,onsite,Construction Plans,Stormwater.Plans W1 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:SURV15Y�requlred for all NEW construction. <br /> ------------ ............... <br /> -16A11r4Se4cte4I4o:qn,S::I <br /> Fill out application completely. <br /> Owner&Contractorsign,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 Sbwers Servic6:Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewaysi-Not over Counter if on public roadways..needs ROW <br />