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813-780-0020 City of Zephyrhills Permi`Application s# q P Fax-813-780-0021 <br /> Building Department .;rN V i#- J4 7 <br /> 1 <br /> Date Received Phone Contact for Permitting <br /> Owner's Name f r l O 0 1 r k Owner Phone Number l' � v 3 <br /> Owner's Address 60 -e pl c�0 u) 0O Owner Phone Number <br /> Fee Simple Titleholder Name �^ Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS s /,vim o vi Gad c}% &0 r 35 LOT# <br /> SUBDIVISION 1 Y` e 0yi ao eSl�f � PARCEL ID# ~ 2 © 4 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME � STEEL <br /> DESCRIPTION OF WORK C' F--d C2 kW 6 l n c(-;, k Cx I <br /> BUILDING SIZE SO FOOTAGE HEIGHT C <br /> ©BUILDING $ 6600 1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN, L11 N <br /> Address - License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN <br /> Address 7 License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address s License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN ) /N �} <br /> Address =Y\, <br /> License#OTHER fa � COMPANY. V l C}V��C !01'( �l'U/C� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address F 1 c(rd-r l —Wrloa J 36 lP License# C CC- 6-6 <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 daysafter!submittai 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 Buildin 01ans pkis 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,onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ( Sanitary FacilitiesAIr dumpster.,Site Work Permit for all new projects.All cor`hmercial requirements must meet compliance <br /> P, SIGN'PERMIT Attach(2)-sets of Engineered'Plans. <br /> *"'PROPERTY SURVEY:cegU!red for all NEVIh,:construction. <br /> bisections: <br /> Fll:out application completely. <br /> Qiriner:&Contractor sigh back of application,notarized <br /> if ovisr.$2500,a Notice of Gbmmencemen, , required. {A/C upgrades,over$7500) <br /> ** Agent-.,(for the contractor)or Power of Attorney(for the owner)vvould be:someone with notarized letter from owner authorizing same <br /> .:.OVER:T.HE COUNTER PERMITTING ;(copy.of.contract required)'. <br /> Reroofs if shingles yy Beavers,;,; ,' Seitirce Upgrades 'A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter;if on public roadways:.needs ROW <br /> , <br />