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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 // <br /> Building Department py�"V <br /> Date Received .r2.— _ V . <br /> Phone Contact for Permitting <br /> • ■�aaaaa■ aaaa■ <br /> Owner's Name 3'O$E CARRA5OOJ LLO Owner Phone Number <br /> Owners Address SSi$ 11 14Si zgPHyeNrus Fl- 333"yZ Owner Phone Number <br /> Fee Simple Titleholder Name S a 'Fi Owner Phone Number <br /> Fee Simple Titleholder Address <br /> G Jr 4 <br /> JOB ADDRESS 0 �I 1~ z'—ZePhrdt,11$4 LOT# <br /> SUBDIVISION ioWNOpt' PARCEL ID#/1-2G'zl,00io^J17a0-oJ3o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM EZ OTHER <br /> TYPE OF CONSTRUCTION K E = STEEL <br /> DESCRIPTION OF WORK /fifit j 1ON W.IOA i 55 no co,4 11 C A-11. <N <br /> BUILDING SIZE ® DOTAGE l HEIGHT <br /> � . <br /> BUILDING $? VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C' 0 -./ <br /> =PLUMBING $ ;A /4 V� 17 <br /> / LrQi <br /> =MECHANICAL $ VALUATION OF MECHANICAL INS:LATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY /C/ tZ <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN <br /> Address S 6 ?2b License# Fca <br /> ELECTRICIAN NIA. COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�/'a REGISTERED I Y/N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y./N <br /> Address License# <br /> OTHER �I COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN' <br /> Address License# <br /> ■aaaa>F�aattaa\iifai�i�alaafaifafaaatilllfa�atia�alalaaa1i31�1aaa111fi <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,'Construction Plans,Stornwater 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.R-O-W Permit for new constriction. <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 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />