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813-780-OU2U City of Zephyrhills Permit Application t ax f313-7uo-�ozl <br /> Building Department <br /> G Sri <br /> Date Received (0>4) Z p Phone Contact for Permitting /j3 <br /> t I<l a 9.11 FTTrTT-'E'f"IF r a#r*[i a s a a IL <br /> Owner's Name I C 01::V /J C C) ?-T Owner Phone Number <br /> Owner's Address 3 � M tI c 61 )Al al L N. Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number �! <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3f�Z Lh ` � Y�• LOT# <br /> SUBDIVISION t't100C?V �lVC�1 �- PARCEL ID# ZV-26-21-0/10- 00000- Z710 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER M� F <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK S Clt t-t� ICf fie- /Y�OA r7✓4Q <br /> BUILDt SIZE r X "Zr SCI FOOTAGE � HEIGHT <br /> BUILDING $ Z q two VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL �7 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 6X' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = SPECIALTY 0 OTHER { <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N�— <br /> Address License# <br /> ELECTRICIAN Fi� COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> License# <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED _Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY I � <br /> SIGNATURE REGISTERED YIN FEE CURREN Y I N <br /> Address License# <br /> OTHER <br /> � i—� COMPANY <br /> r,1`_.— <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address ��%J+ n�� ?r 'Z� License# Y""" <br /> �>taaaatt;tia�ara�assalta�aa�sa�ara���aatr�rl«ortajaletasatzxaat:rt>r>r�.xaratffl,s�I <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 wI Slit 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,Stomrwater Plans wJ 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 /> Dlrections: <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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />