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813-780-0020 City of Zephyrhills Permit Application�f# /17a Fax-813-780-0021 <br /> • Building Department ::� 1V✓ p�j <br /> Date Received Phone Contact for Permitting — �i G <br /> '7 Owner's Name 14 Ta'rllS slerjc� Owner Phone Number ���— y� "Z��O <br /> Owner's Address -3011 f 404,16le t f T&%O Owner Phone Number <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address / <br /> JOB ADDRESS 00/I /MO..Idl7„ NB!(Ocv Jar LOT# <br /> SUBDIVISION (, 44,4 ICl PARCEL ID# 2,"-z 6-Z1'0/00-QOOOd-•0f"�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �6 y , oil( C <br /> BUILDING SIZE S—FOOTAGE 19 a HEIGHT <br /> =BUILDING $ 3-300 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �fl <br /> GAS = ROOFING 0 SPECIALTY OTHER= (� <br /> _ �j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY evh-e 04fe <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address v 4 y J ` 'x License# <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED Y/ N_J FEE CURREN <br /> Address I License# <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE 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 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 /> Directions: <br /> Fill out application completely. <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 />