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613-78p-0020 City of Zephyrhills Permit Application Fax•813-780-0021 <br /> Building Department <br /> Date Received 3-I3- 3 Phone Contact for Permitting �� � -- ' `.J�� <br /> r � �� r� r i ��r i� t� <br /> Owner's Name �' ' wner Phone Number IO�ei`~.J ��S <br /> 1 � ��e,�" �.L�435 � <br /> Ownels Address � J �- Lt l � Ow�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address �G M� � <br /> JOB ADDRESS N� �lre ��J� • LOT# [� <br /> SUBDIVISION �C'Jl� �Z4� PARCEL ID# � <br /> (OBTAINED FROM PROPERTV TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDfALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � �—� <br /> DESCRIPTION OF WORK 1 1`/w M�/� L-t'TC7� C��I�CC hDMC � <br /> BUILDING SIZE l �` U O SQ FOOTAGE� HEIGHT � /� <br /> �T^�l�rrfTRT'TlTTrr!"1�lTRTl9"'PrrrrrrTT/�R�!"I�TlTTTRTTTR•!7TlTT � l/}/ <br /> � � V� <br /> �BUILDING $�Jc�OD VALUATION OF TOTAL CONSTRUCTION � <br /> pJ <br /> �E�ECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ �L�� <br /> � �, .yZ}s '/ -� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i��G /���" / <br /> lJ Qp7� �� � <br /> OGAS � ROOFING � SPECIALTY � OTHER ��� V`��,���'_� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �VES NO (il) V� <br /> ....�.......�...� ..�............. ...�.........;:.�.,....� .....v/ _ ��� <br /> BUILDER �/ COMPANY � "" �.�� C7�5`.�k�� � 'y�l <br /> SIGNATURE �L REGISTERED Y/ N F�EE�CURREI. Y J N <br /> Address L�n�se# (�,/pl J���� <br /> EIECTRICIAN ' COMPANY �� � `�,F..���<<n, \� 1 �'G�'Q{� �l <br /> SIGNATURE REGISTERED Y! FEE CURREI. Y/N <br /> Address " License# �� `J�0 � a\F.� I <br /> PLUMBER �/�' COMPANY � —��+C.� C���11C"�I <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# J�'� `�0..�13�� � <br /> MECHANICAL COMPANY dIO�)N 1 y� S NStV V\�� ✓ <br /> SIGNATURE � REGISTERED Y J FEE CURRE� Y/N <br /> Address License# G'��� � l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# �� <br /> ! 1 1 1 [ 1 1 1 [ 1 1 1 1 1 1 E 1 t I 1 1 1 1 f 1 f 1 1 1 1 1 1 f 1 1 1 i i 1 1 1 [ 1 t 1 E 1 [ 1 [ 1 E ! 1 1 1 [ 1 f 1 [1 I 1 f f I <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 submittai 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(3)complete sets of Bwlding Plans plus a L�fe Safery Page;(1)set of Energy Forms.R-O-W Permi[for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new pro�ects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �...^.3�4i�f..L�f..F-4F#i-�4�F�i-�F�4��C�PrF�0.�4�`�F�wF4�f��0.�S����-�����i��'.-�.��� <br /> Diredions: <br /> Fill out applicaGon completely. <br /> Owner&Contractor sign back of application,notanzed <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contrector)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application 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 />