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813-780-OU2o City of Zephyrhills Permit Application Fax-813-780-U021 <br /> Building Department <br /> Date Receivec phone Contact for Permitting Ira <br /> a aaaaaaa a a a a a <br /> Owner's Name /N y/L Owner Phone umber <br /> Owner's Address 3/�9 /�uQl��11//� )7� �N' Owner Phone mber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 91117 /VffdeIN />>O!'C L/V zEoy2/'L L1 LOT# ZQD <br /> SUBDIVISION //400 PARCEL ID# Zy-16—Z/ -0/10 00000 2100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER 1V /j/ <br /> TYPE OF CONSTRUCTION = BLOCK /Q FRAME = STEEL <br /> „ = <br /> DESCRIPTION OF WORK SC(Z'��N 061" /�O�✓� .1-449 c <br /> BUILDING SIZE 1 1.2 X Z s SCI FOOTAGE 3d HEIGHT —! / <br /> -If-Ck-WiT€clfE'E-E-�aTc'sl[-Ci-i">f <br /> =BUILDING $ Z' y 00 •w VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE ��7j PROGRESS ENERGY Q �W..{R..E..C. <br /> I 91Tq ", <br /> F_' <br /> =PLUMBING $ �� <br /> lbk <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLA <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NOD <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address i <br /> �f^ License# <br /> OTHER COMPANY /"H����N�n� ANC <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address 3.V);/A_ J,t;A'/1VWUG , ft.0 s) License# I Xcr- O.S-67{,� <br /> a- IaallaaaI'I E a a 3 a as 1 I as Blai■Iaia a.aaa as fltaaaa aaaiitilia lto a EstillRESIDENTIA 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 dale.Required onsile,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 /> 11*4 <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.(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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />