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a�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � � Phone Contact for Pertnitting ,�� `"� � O� <br /> Owners Name 1�) �a O�V Owner Phone Number �13-�y3�i 135 <br /> Owners Address 38b3b 'a (��S��y Owner-Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS $63 b VL� � 3 3541 LOT# � <br /> SUBDIVISION ��r'Qis PARCEL ID# �y�2b�J��(�O�V�03� 010 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED � NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPl10N OF WORK O'sVV I �` S �`�w� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $. �/_� VALUATION OF TOTAL CONSTRUCTION <br /> y <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� V`� � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i —'—��_ <br /> BUILD R •n�,�5� COMPANY V�LCQ.Y �Q�n SO�aY LLC <br /> SIGNA / 1 REGISTERED Y/ N FEE CURRE� Y/N <br /> address 7�o�f C Q "�' Y nnS' r+►+�j f-�34689 �icense# CVC 5b10 <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 CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,ConsWction Plans,StoRnwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construc[ion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 /> ""PROPERN SURVEY required for all NEW construction. <br /> Directions:' <br /> Fill out application completeiy <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over^�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />