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813-780-0020 City of Zephyrhills Permit Application - I Wi `U l Fax -813 - 780 -0021 <br /> Budding Department ( <br /> Dab Received Phone Contact for Permlttl <br /> Ts v - <br /> Owner's Nave . 1 (► 1 111/• [a.& Owner Phone Number 1 s S • ()♦� <br /> Owner's Address W cl a 9 QQ J -1-..Q ,� Q�-, Pc h 4 �, Owner Phone Number 1 <br /> Fee Simple Titleholder Name I l • Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS f � ��m n � ^ m _ S fa. LOT/ <br /> SUBDIVISION IS4-,QlA Qn V ( sz ^ , I PARCEL 101Ib7) <96 91 dIIn( crc 05I O <br /> (OBTAINED FROM PROPERTY TAX 140710E) <br /> WORK PROPOSED NEW CONSTR 1 SIGN = = DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE = SFR = COMM k l OTHER <br /> TYPE OF CONSTRUCTION = BLOCK \ = FRAME � / l STEEL = I II r <br /> DESCRIPTION OF WORK �Q IOVCO d- `Q {(. JIC tC ,Q her\ � j� � F L._01-- A4 t "PS A ,J <br /> ') <br /> BUILDING SIZE ISO FOOTAGE ' 73 HEIGHT I 3°Y' 7,,g <br /> nBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY = W.R.E.C. <br /> E1PLUMBING $ <br /> nMECHANICAL 18 I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY ET OTHER <br /> FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA nYES NO <br /> • •1•111 •111 ••11111111111111111111111111111111 •111•11 ►11•1•1•••11 <br /> BUILDER ( L - ) C <br /> J --- * Tom; <br /> SIGNATURE <-^ — COMPANY REGISTERED / N r FE a�R Y/N i <br /> Address I <br /> 1 License t I (C( f') ) A S I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I <br /> Address <br /> 1 license S I <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED 1 Y/ N 1 FEE kxautEn I Y/ N <br /> Address ( <br /> License* 1 <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn 1 Y / N 1 <br /> Address <br /> 1 license eT I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I <br /> Address I license # <br /> 1111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets or Building Plans; (1) set of Energy Fours; R-O-W Penult for new construction, <br /> Minimum ten (10) wordng days after submittal date. Required make, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Site Worts PenmN for subdivistonsAarge projects <br /> COMMERCIAL Attach (3) 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 omits, Constnrabn Plans, Stormwater Plans w/ Snit 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 /> DI►ectl 1 1 • 1 • ' 1 111 <br /> Fill out application completely. <br /> Owner & Contractor sign balk of application, notarized <br /> If over 82500, a Notice of Commencement Is required. (A/C upgrades over 87500) <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 (From of Application Only) <br /> Reroofs N shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways -Not over Counter Non public roadways..needs ROW <br />