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813-780-W20 y City of Zephyrhills Permit Application Fax-813-780.0021 <br /> 1 <br /> Building Department <br /> Date Received S/3 r7lS _ a�333 <br /> Phone Contact for Pertnitlln - <br /> Owner's Name LC°s [ /T�s �J��. Owner Phone Number <br /> Owner's Address /J��e� f Jj'/�S �J' I- Owner Phone Number <br /> Fes Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / ry <br /> JOB ADDRESS S/3I vG )LOT1th.� <br /> SUBDIVISION PARCEL ID# /'�(f/—c�/—UU�D" <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEtvCON5TR8 ADDIALT �N = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK /7S� G U9 S/ S 70 f��/ GZ• i <br /> BUILDING SIZE SO FOOTAGE HEIGHT S�jy� �/`C/2EI . <br /> BUILDING IS r7/_goo C, VALUATION OF TOTAL CONSTRUCTION I <br /> ELECTRICAL § �G AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> f <br /> =PLUMBING 5 ' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONS I / <br /> i <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t / i <br /> I <br /> BUILDER I ��' COMPANY 7:� s <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> { Address License# <br /> ! ELECTRICIAN COMPANY // 1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Add.. �30� f License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ NLJ FEE CURREN <br /> i <br /> I Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE11 <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> „ IfI Ill off 11 „ 9 „ 1111IIIIIIIIIII , II , IIIIIllIIIII' IIIII , 111111111111 <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislons/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,Stormwaler 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 applicaOCn 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 /> Reroots If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />