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813-78U-UU20 City of Zephyrhills Permit Application Fax-813a8u-021 <br /> Building Department <br /> Date Received <br /> Permitting <br /> Phone Contact for Per <br /> aaaaaala laat! <br /> Owner's Name �r0/�} I ,_a�br 1m�Ts k ,, Owner Phone Number <br /> Owner's Address �'YS (RJ V1 1 5�fo� b'z Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address "�� <br /> JOB ADDRESS 0 q 1 W k��++�� STD- LOT# <br /> SUBDIVISION Z_eVk LAL« c�tA PARCEL ID# oZ�c Z I-GI yC—t)C(00 —0 O ZC <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER CrU�vv`Yet k <br /> TYPE OF CONSTRICTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> Z�totV.'f-tIN71t� J40S I� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ //'��� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ! AMP SERVICE PRO ESS ENERGY = W.R.E.C. <br /> =PLUMBING $ 1 P�O�� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A 1 <br /> 11!!11 p <br /> =GAS � ROOFING = SPECIALTY = OTHER �f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO �/ ���/// <br /> v {f <br /> BUILDER COMPANY U1v S,'LA-TtZ rob S <br /> SIGNATURE ,/ t REGISTERED Y/N FEE CURREN <br /> Address 3S�rt7 t Lli'I� Ati� �A ��� License# G C!-Y65� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER u COMPANY �tZ4'J�S4�L��7J(Z O��S <br /> SIGNATURE 2 REGISTERED Y/N FEE CURREN Y/N <br /> Address J h J�, I�y� 33 6 1 License#l� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> !t[[f[[lttt![Il[[Il■tat_tIl[![i[la[oaf[ta[ia[[[[a[[t[t[aalia[[3[a[_a[! <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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&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 /> 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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />