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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Perntlttin$ <br /> Owner's Name Na Owner Phone Number17J- 793" {.I 1 <br /> Owner's Address 9-C-C . Owner Phone Number <br /> Fee Simple Titleholder Name F� Owner Phone Number, <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `✓ �J�Itic1 LOY# :5--(Jhh� �9Q <br /> SUBDIVISION F PARCEL ID# �—di OCa�D (�a3cao C?C3 3' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL ®, REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK [] FRAME "STEEL 0 <br /> DESCRIPTION OF WORK ] I OF j�� 06) �?X( ew ,Q <br /> BUILDING SIZE 14-�x�� � SO FOOTAGE r'c' HEIGHT <br /> QBUiLDlNG $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRiCAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E,C. i <br /> 0 PLUMBING. $.. r i 9 <br /> QMECHANlCAL $ _ . VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING [] SPECIALTY �� _. OTHER71 <br /> ... B <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> } <br /> SIGNATURE G" � r J� REGISTERED Y FEE CURREN I Y/N <br /> Address cril Leo License# G-66�;1 s <br /> . ...� <br /> ELECTRICIAN *'� -r-�"� COMPANY: /f t fl GG7 cY� <br /> SIGNATURE ~% REGISTERED Y/ N I FEE CURREN_- <br /> Address License# l 3 op 3 <br /> PLUMBER 1 Q , (1c�t�v.�A� coMPANY �. �s u .�tltt �' S t (n <br /> SIGNATURE / REGISTERED Y/ N FEE CURREN LXLNJ <br /> Address E r�\ft -�i Z"v tt tk S P— Sq a License# <br /> I <br /> MECHANICAL , r � ;6MPANY it ,s /'Q f� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 4;/k) A 1 License# � L� ✓` t3 <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N - FEE CURREN LyjN <br /> Address License#; <br /> RESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ensrgy.Fonrs;R-O-W Permit for new construction, I <br /> Minimum ten(10)working,days after.submittal.date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&.1;dumpster Site Work Permit for subdivislonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plants plus a'Life Safety Page;(1)set of Energy Forms.R-0-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit 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. (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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />