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813-780-0020 =7W—w'C) City of Zephyrhills Permit Application raX-oiJ-,OU <br /> Building Department <br /> Date Received Phone Contact for Permittin. 1 [3 OZ---- 37.3 <br /> Owner's Name ,/0/ 1 7( tO ' Owner Phone Number % / • 7/2-dr • r 7 <br /> Owner's Address <br /> 70 t( ,/l 7 C ' 4,/ / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /� A /JOB ADDRESS 6 70 4 L /ki 6 LOT# <br /> SUBDIVISION —71IfiPli "CO C PARCEL ID# O Z--LU' 21-02--/O • 004Z) 7:_acter <br /> ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Il SFR I COMM OTHER I I <br /> TYPE OF CONSTRUCTION BLOCK FRAME /�'_ — STEEL n OTHER I <br /> DESCRIPTION OF WORK r"`-' r • W t n�'c"" S .Cr y fi S,ir <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .....-. BUILDING $ /_ .� <br /> (�' VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> I I PLUMBING $ ��v cx J- <br /> ei , <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Z- 6(---- <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES EINO <br /> 11'!III■1■•11111 II•1t1!1J2-\LA.i, <br /> BUILDER i ' COMPANY Tampa,FL 33619 <br /> SIGNATURE r' I REGISTERED -I Y/ N I FEE CURRENT I YIN <br /> THT) At omc ervt_- , p ,//,, <br /> Address 207 Kelsey T.tine, ,SII i!' K License# t�12 C0 vcay.s? <br /> Tampa, FL 33ot9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I <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(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,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. (A/C upgrades over$5000) <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 (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />