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R13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �' f / -�__, phone Contact for Permittin 'Z 2 7 - Oc3 2 <br /> � /3- -a2 <br /> Owner's Name O-ss�` �,�. � 30 aS�s ,� Owner Phone Number <br /> �w B/L` <br /> Owner's Address p f+�C�► C// p �G � � Owner Phone Number / '— d�g <br /> �.S�CO T� � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address �-" <br /> JOB ADDRESS O Ol� Cr' 1� ,�Gd-0 LOT# C� <br /> SUBDIVISION PARCEL ID# ' �.S"�ol f''0030-+/.T��Ob^+ C30 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK f �l�O /,Sff� /d � 1� �+- �� nI <br /> BUILDING SIZE �6� SQ FOOTAGE� HEIGHT ] <br /> �BUILDING $, � pp VALUATION OF TOTAL CONSTRUCTION <br /> D O -- <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � / <br /> c-��` � �° <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „ <br /> o � W� � <br /> OGAS Q ROOFING Q SPECIALTY OTHER � /� ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO / <br /> � <br /> BUILDER� y� COMPANY 7• `J�-S�N ����JUr�,l� <br /> SIGNATU ""� �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address fzs� � i9 Pi CA- � License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� 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)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisions/large 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 onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permlt 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 consUuction. <br /> Directions: <br /> Fill out appiication completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over S2S00,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />