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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received tt <br /> I' Phone Contact for Permittingt t O <br /> Owner's Name o cK 4- C ( tila- Owner Phone Number �Q ! 'i <br /> Owner`s Address Q t•b Ytfe3+ "4 k I It S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ab 60 Ker53�- [3- �t/ �1� �` LOT# <br /> SUBDIVISION �i V_1��} -cU PARCEL ID# Y' O►f b�C)� 6OX0- '0 �' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM .OTHER <br /> TYPE OF CONSTRUCTION Q BLO�CpK �rQ,/j � FRAME � (STEEL = r� C jf�, r, <br /> DESCRIPTION OF WORK Le-�§o� `t 15- G AFcg hre-� Shi 1c, F1'10)a `•` U �T'� C U a" r4T rU�� <br /> BUILDING SIZE Ef bV 71SQ FOOTAGE I�J HEIGHT F <br /> BUILDING $ cj o07 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING I$ � r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA-` =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURREN, LILN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y J N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YJN FEE CURREN LY J N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> .SIGNATURE REGISTERED. Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY tn� — <br /> SIGNATURE REGISTERED FEE CUNov�" Y N <br /> Address � 3 5' <br /> r t License# FGCc c 3a 5 53 i �1 <br /> RESIDENTIAL Attach(2)Plot<Plans;(2)sets of Building Plans;(1).set.of Energy Farms;R-O-W Permit for new construction, <br /> Minimum.ten(10)working daysaftersubmittal 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'g:Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working.days a*submittat'date.-,Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> i Sanitary Facilities&'1,dumpster.'Site Work Permit for alFnewprojects.All commercial:requirements must meet compliance ' <br /> S_ION PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required•fcr all NEW construction. <br /> ' •Dire'ctions: <br /> i Fjli�but'application completely. <br /> Owner:&Contractor sign,bank;of•application;notarized <br /> If'over$2500,a Notice of Comirie`ncemeni ie-required.-.(A/C.upgrades+.over$7500) <br /> " .Agent(for the contractoi•)`or Power of Attorney(for the:ol;ier)would b'e someone with notarized letter from:"owner,':aii`tiiorizirig`saiii'e <br /> QVER.THE COUNTER PER (copy;of,contraGt required). <br /> t2eroofs if shingles Sewers.,:. . Sery ice.Upgrades';A1C ' Fences.(PlotJSurvey/Footage) _r•• ._ <br /> 'Driveways-Not over Counter if on publiciroadways-needs ROW <br />