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"" 813-78D-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 I <br /> ��_ � Building Department <br /> Date Received Phone Contactfor Pertnitting (.1 J �C)�— ��Z� <br /> Owner's Name � �� Owner Phone Number <br /> M �CQICI <br />� Owner's Address W � LL � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Num6er <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �.�.`,?�� �a.YKinlll�l�r���= �{blllS3�v5�1L LOT# � <br /> SUBDIVISION �Q.��1`� \'Q,YY�� PARCELID# OZ�u U� ��c���1 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDlALT Q SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �M n/\ COMPANY �CIU� S W LG e(� �r[ <br /> SIGNATURE '����� REGISTERED / N FEE CURRE� /N <br /> Address o —1 C�Q � !"J�v� License# l.�S����V <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permitfor 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 Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsi[e,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities$1 dumpster Site Work Permi[for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"`PROPERTY SURVEY required for ali NEW construction. <br /> Dlrectlons:• <br /> Fill out application completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (AIC upgrades over$7500) <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 PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />