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!� 813-780-0020 City of Zephyrhills Permit Application aX- - -780-0021 <br /> Building Department 1 Q� <br /> Date Received <br /> Phone Contact for Permitting <br /> a:aaa.ataa - ■east <br /> Owner's Name �} ary 5rar Fpd- Owner Phone Number Z, q �v d a <br /> Owner's Address J 1�5 Evel n Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3g010S LL .J&A,r r 1 Ol- r)iA LOT# <br /> SUBDIVISION - r FSfg PARCEL ID# 02-2'6-21-a23o_Wco0_02&I0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER I Md'&�jffal <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORK 1224 4o-+ ®F 6 T6.4- h; h wood fdm wl l �e <br /> BUILDING SIZE SQ FOOTAGE ZZ HEIGHT 6 ' <br /> 'K BUILDING $ C t2 oo. VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 0,Q AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ _ I ^ VALUATION OF MECHANICAL INSTALLATION <br /> = GAS = N ROOFING Q SPECIALTY [5�j] OTHER T�j/U/tox <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO / (/ <br /> or <br /> BUILDER COMPANY SN raf �/•� J( Isar <br /> SIGNAL URE / EKED Y N FEE CURREN Y/N <br /> - I q====_ ,ress n N �iQ( Qlua. UQ License# <br /> ELECTRICIAN , /� COMPANY <br /> SIGNATURE A REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L.YL/N <br /> Address I License# <br /> MECHANICAL Iv COMPANY <br /> SIGNATURE 1 REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE ,v REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> :!1!la.a!l.a1l,!-I.ilea.al,1.aE.!la.a'a .la.a1.la.l:a.Iit III l.a.la III 1.1a.t,aiiia&-ava awl IIsIIII <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/Sill 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(far 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 />