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813-7E0-0020 <br /> - = City of Zephyrhills Permit Application Fax-E13-7E0=0021 <br /> Building Department <br /> Date Received Phone Contact for-Permitting ZZ oZy, — o S <br /> Owner's Name Owner Phone Number c�.7�o� •f�,3 <br /> t� <br /> Owner's Address a a_ ZIN' <br /> �l Owner Phone Number 3' <br /> Fee Simple Titleholder Name SS I V(1�50eraone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I - t, Lam' LOT <br /> SUBDIVISION PARCEL ID# �� '`��/r / 'rQOBI� " 370P <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM 0 OTHER . <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL Q p <br /> DESCRIPTION OF WORK v� 2 t vt — � Lr o Ad► d �. St N� <br /> BUILDING SIZE SQ FOOTAGE / .�J HEIGHT <br /> BUILDING $ D , VALUATION OF TOTAL CONSTRUCTION <br /> ]ELECTRICAL $ 0 AMP SERVICE p'-p O = PROGRESS ENERGY 0 W.R.E.C. <br /> PLUMBING is <br /> -6-o o ', <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q_ SPECIALTY = OTHER 01vdcl <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES <br /> BUILDER !; /� COMPANY PSIGNATURE <br /> �!>� /�[/ �REGISTERED. Y/ N' __,. ;:FEE CURREf\. Y/N_' <br /> Address cJe 4 iok��/cif 6I'Z�����1/ e Q License# .�C/�©t� %�g�3 <br /> ELECTRICIAN .COMPANY •���d"� � <br /> SIGNATURE' REGISTERED Y/ N. ,F.EE CURREK <br /> Address License# <br /> � ,v,.1�' � <br /> PLUMBER COMPANY �t7 � CH. z L I <br /> SIGNATURE REGISTERED Y/ FEE CURREEN I Y/N <br /> Address License# C., F'G �oZ g t,_: <br /> MECHANICAL COMPANY i�1I <br /> SIGNATURE REGISTERED Y/ W"I FEE CURREN Y/N JN Q <br /> Address License# �f <br /> OTHER COMPANY <br /> �IGNATURE REGISTERED Y/ N. FEE CURREN Y/N <br /> Address License#; <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 inetalled, <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-•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 /> '1Dlrect(ons: <br /> Fill out application completely. <br /> Owner&Contractor sign.baek 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 /> :. <br /> OVER THE COUNTER PERMITTING •' ''(copy of:contraot'required) <br /> Reroofs if shingles Sewers SerWde Upgrades A/C.:. Fences(Plot/Survey/Footage). <br /> Driveways-Not over Counter if on public roadways..needs ROW " <br />