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i ' � <br /> . �, <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-750-0021 f if <br /> Building DepaRment <br /> Date Received /�i � �f 3 �J � <br /> Phone Contact for Permitting — <br /> Owner's Name c t it�i• P�t o,d'+1•: Owner Phone Numher <br /> Owner's Address ��3 �� �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br />� Fee Simple Titleholder Address <br /> JOBADDRESS �3�� �OT� � LOT# � <br /> SUBDIVISION PARCELID# I3`2�' �`V�7O ` ' Q <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR` Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 7° O � 7 �cYJ/.� � i �+ 0=� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � - <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $1 L� 5,2�' AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ /�D� � <br /> � ,1�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY �.+o x ir,v, <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICI � COMPANY � -/llG� � <br /> SIGNATURE � REGISTERED / N FEE CURRE� Y/N <br /> Address !4�T�00�/ni��. ::,.r-.- -r f �275 License# � "q�0��`/'� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> 1 1 1 1 1 I I 1 1 1 1 I 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal da[e. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities$1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal dale. Required onsite,ConsWction Plans,Stormwater Plans w/Sitt 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 /> I. . ""PROPERTY SURVEY required for all NEW construction. <br /> pirections:• <br /> IFill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgredes over$7500) <br /> i' Agent(for the contractor)or Power of Attomey(for[he owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Fteroofs if shingles Sewers Service Upgrades AIC Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> .�.. , ., <br />