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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 4 5to 6_5 <br /> Date Received <br /> ...... ............... �2 phone.Contact for Permitting F rrrTT7mnrrrrrrrn....... <br /> Owner's Name V' ki' &4AOno, Owner Phone Number <br /> Owner's Address I 77S3 q 6 I-Oqd pof-4 If D11- Owner Phone Number <br /> Fee Simple Titleholder Name 1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 703� g'aaw -P'9J'J'2 D", LOT# <br /> SUBDIVISION l g <S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK P41 F7r,7cc <br /> BUILDING SIZE SO FOiTAGE HEIGHT 6 <br /> =BUILDING 1$ 9'S' VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING r— � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY J,010e Fmce <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address S2rL/o S rtiLicense# F—// 7,/S— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE! REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> :SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License# F__ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F— <br /> HHHHi <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 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 /> ........ .................. <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 Q___,(co COUNTER.FgRNt!TT1R (copy-ofcontractrequired) <br /> , _. <br /> Reroofs if shingles Sewers �Service Ypgrades,.:AI.0 Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counto i"If,' public pn p�kp!p rpeoways...i4eds ROW <br />