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813-780-0020 City of Zephyrhills PelTnit Application Fax-e13ae0-0021 <br /> Building Department <br /> Date Received Uq _ <br /> Phone Contact for Permitting `(� <br /> aar�eaace� AA ,,1 ` `� caaee <br /> Owner's Name ]G VIJtI�OI►J�� s ii& phone Number <br /> Owner's Address l % 1S Q.Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ( <br /> JOB ADDRESS ()e -6 I 11S, F-L- LOT# /�tt''�'� <br /> SUBOMSION PARCEL ID#_ I - '001 -L/�J1 V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK iog e k- �-_ ',Si MNE <br /> `mC 11 0IM e- <br /> BUILDING SIZE SO FOOTAGE® HEIGHT <br /> �a;"S";SIC E�SR OL E_W 4-;"rC IC;C S_[L S"!-L"t-L"C"6"L-4-S IL-E X"XCX* .L IG 4 C 4'S1L"S 4"�C"�C;"C 4"i i 4:�4'4;Ar IL E cc-X C M. <br /> �ILDING $ UAW VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ P <br /> fL. Rodu.a-Gppinx(al <br /> =MECHANICAL is VALUATION-OF MECHANICAL INSTALLATION Z <br /> We <br /> �=GAS = ROOFING IIY.I SPECIALTY 0 OTHER � R 10'1Y I LI - EIS <br /> FINISHED FLOOR ELEVATIONS Y FLOOD ZONE AREA =YES NO <br /> ---- - ------------ --- <br /> BUILDER QQ,` Q COMPANY I Wbog'0A U I c <br /> SIGNATURE REGISTERED `/N FEE CURREN I Y/N <br /> Address 0 nnJ Cl I� ' 5 LicensefficriCB131010 -1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LXLN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> 1111.1i_1It91[a2.1.laa.l.al.l.alit-!i.l.1-1 a alallaaIIaIa9.19.Bl1aa11af aIa111aIIIIIaI <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 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 Fortes.RA-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 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 ap0patipn cpmpletely- <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(AIC 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 />