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813-78MO20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermlWng <br /> 'TTT-f"4TT'1'" , l/� 7-"l T <br /> Owner's Name NC P� -4L 5 lrvt-.,1.. Owner Phone Number <br /> Owner's Address a t tty% . 5TE so Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 L&AMAV ^^ LOT# <br /> SUBDIVISION QV- a <br /> PARCEL 109 NOr lM30 QQPW- <br /> (OSTAIM FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADWALT [� SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 1 FRAME = STEEL <br /> DESCRIPTION OF WORK \ e to <br /> 0,C) <br /> BUILDING SIZE O SO FOOTAGE HEIGHT <br /> I� <br /> ' BUILDING S •�'�f,� VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL S ab to W AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING S. <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY L.__J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY Qr Wli(xn P.JI�eS <br /> SIGNATURE REGISTERED I"YJ N FEE CURRM Y/N <br /> A SB h 335 License# <br /> ELECTRICI COMPANY a�l L <br /> SIGNATURE 1 REGISTERED 1(yi N FEE CURREA I YIN <br /> Address License# CC 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECU(R'REI, Y!N <br /> Address License* I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N <br /> Address License# <br /> rrrrrlrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr <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(ID)working days after submittal date.Required onsite,Construction Plans,Stonnwater 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 Pens plus a Life Safety Page;(1)set of Energy Farms.R-O-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 newprojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> . . . . <br /> Direntiont." <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It 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/SurveyfFootage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />