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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin 1 — g <br /> TTTt"iTT'1'"' T Ti'�-i <br /> Owners Name NC ry -IL 115 V�,� Owner Phone Number <br /> Owners Address Or ^^�7l . STE Ott Owner Phone Number <br /> Fee Simple Titleholder Name 7r 1 Owner Phone Number <br /> Fee Simple Titleholder Address 1 <br /> JOB ADDRESS ^ ^^YbI� �` LOT# <br /> SUBDIVISIONjcjo-jo';�;LQm PARCEL109pt3Ot�O- <br /> (013TAIM FROrA PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK `` FRAME = STEEL = <br /> DESCRIPTION OF WORK �\ e 6 <br /> BUILDING SiZE O X O SO FOOTAGE® HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> L�Y9 � rJ:7 <br /> ELECTRICAL IS �O AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING S n �� <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =OAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY WpLIPI lilies <br /> SIGNATURE 1 REGISTERED 16YI N FEECURREA Y/N <br /> Address 5 h 335 �/��11 License# 0..+ <br /> ELECTRIC ` COMPANY ' �C1. 4 (z _ e�l L <br /> SIGNATURE ^^ REGISTERED Y N FEE Ct1RREA Y/N <br /> Address 335 a License# <br /> PLUMBER COMPANY <br /> SIGNATURE I Y/N FEE CURREh <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE RE019TMED YIN FEE CURREA YIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREA <br /> Address License# <br /> Illllltllllltllilllllllillllt1111Ft11111111111111111111 # 11111111 [ it <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 data.Required onsite,Construction Plans,Stornwater 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 Pans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Require!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 /> . . <br /> Oirectioms: <br /> Fill out application completely. <br /> Owner&Conirector 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 (copy of contract required) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />