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813-780.0020 City of Zephyrhills Permit Application Fax-813-700-0021 <br /> Building Department <br /> Date Ro%Wed - J T <br /> Phone Contact for Permitting[a <br /> Owner's Nam. VivianJ at[ <br /> 'Delgado Owner Phone Number 813 440-8145 <br /> owner's Address Eii7STEPHENSOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpla Titleholder Address <br /> JOB ADDRESS 1 6819 STEPHENS PATH LOT III 81 <br /> SUBofV,S,ONSte ens en at i V r `1SLtoq 03-26-21-0160-00000-0810 <br /> (OBTAINED FROM PROPERTY TAR NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK Foof mounted PV solar <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 'CCCCCL"CCCCCCS"C'CCCCCCCRZTCC['C4"CLZ"CCC'R'CCCCC CCC'CCCL�CCCCCCr, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION 35784 <br /> =ELECTRICAL $ AMP SERVICEMPROG,yRESS/pEJNERGY Q W.R.E.C. <br /> =PLUMBING $ n <br /> =MECHANICAL s VALUATION OF MECHANICAL INSTALLATION f <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO LF` <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address y� License q <br /> ELECTRICIAN O ANY V Y, . G �O�Y <br /> SIGNATURE IS RED /N /FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEECU Y/N <br /> Address License If <br /> 4ECHANICALF COMPANY' <br /> fGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License it <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License q <br /> IIII.ItItltilttl.tltltltttt[t[[{t[tl[lit[l[I[[1l[tlltll11tt11111f11ttt <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 dale.Required onsile,Construction Plans,Slornwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpsler,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 len'(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 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 /> Fig out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notico of Commonaement Is required.(A/C upgrades over$75(10) <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 Sowers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />