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813-780-0020 City of Zephyrhills Permit Application _/ Fa*813-780-0021 <br /> Building Department J(' <br /> Date.Received Phone Contact for Permitting ( (p— sly <br /> Owner's Name MC^r TL LLf— Owner Phone Number <br /> Owners Address 01 � Owner Phone Number <br /> Fee Simple Titleholder Name NIA Owner Phone Number <br /> Fee Simple Titleholder Address + -, <br /> JOB ADDRESS31-51 i Vim. ^`_ ^Yj1I� -+L LOT# <br /> SUBDIVISION , PARCEL ID# -a�-a\- CLNX�10— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I 10 X I O SO FOOTAGE r 'va./J HEIGHT <br /> BUILDING S 6 O VALUATION OF TOTAL CONSTRUCTION <br /> LZELECTRICAL S AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING s=MECHANICAL S VALUATION OF MECHANICAL INSTALLATION 74q�- b f <br /> u <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y_/N FEE CURREN I Y/N r _� r�\OLw5 <br /> Addres t0b W or liiI Us P1 13154Q License# Q 3 5 �J�� 3?�52.l 0 <br /> ELECTRICIANA. 64 COMPANY <br /> SIGNATURE REGISTERED Y N FEE CURREn Y I NN <br /> Address ( � ) 3 License# C I&V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN LYLN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIt1111111111tlltllllllt11111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w7 Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit 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 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. (A(C 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 (copy of contract required) <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 />