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� ��� ������ <br /> R_ j_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �� <br /> �� • 3�5�z <br /> Date Received �'� i l�(�C�� <br /> + � � Phone Contact for Permittfn� � - C Z L� <br /> Owner's Name '✓L- Owner Phone Number �-32(�-25 <br /> Owner'sAddress �./G ��C\t�J� �✓ OwnerPhoneNumber <br /> Fee Simple Titlahoider Name � Owner Phone Number <br /> Fee Slmpla Tltleholder Address ..rC <br /> JOB ADDRESS -L C� ��( �O� LOT# rv� <br /> SUBDIVISION �,� lslf_t'�c � PARCELID# �Z�O�Z�"��. D—VODDO�ClZ3 <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/AlT � SIGN � � DEMOLISH <br /> INSTALL REPAIR �P � <br /> PROPOSED USE Q SFR COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q s n <br /> DESCRIPTION OF WORK � 134� � V lY, <br /> ,�. (�i�' ��l �S SP�2r <br /> BUILDING SIZE �S�� SQ FOOTAGE ���� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � ^O <br /> �MECHANICAL $ - � VALUATION OF MECHANICAL INSTALLATION 'l ���� <br /> r <br /> FINISH�ED FLOOR ELEVATION� ROOFING O FLOOD ZONE A�REA �THE�YES NO / � v!� <br /> � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address --�"� License# <br /> MECHANICAL —/ � ` ' COMPANY �.�VT wQ�S"L w� �� �'�' V���"�"�'� <br /> SIGNATURE � REGISTERED N FEE CURRE� Y/N <br /> Address �� � �v, License#� {�f'��\� Ip�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertni[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 af Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over Ez500,a Notice of Commencement is required. (AIC upgredes 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 PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />