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813-78M020 City of Zephyrhills Permit Application Fax-813.780-0021 <br /> Building Department <br /> Data Received Phone Contact for Permitting <br /> t"IT[BTT 1 C 7 a I 1 T <br /> Owner's Name rr��►M -IL J VC- Owner Phone Number <br /> Owner's Address Of i �f% • 51E ftD Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Nh�1 h01)s a'L LOT 0 <br /> SUBDIVISION • Q VC-5 I PARCEL ID# —at e-S — <br /> (OaTAIM FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSrR B ADD/ALT © SIGN [� [� DEMOLISH <br /> Ee INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM LJ OTHER <br /> TYPE OF CONSTRUCTION = BLOCK `` FRAME = STEEL <br /> CT �\ = <br /> DESCRIPTION OF WORK - e d <br /> Or I <br /> BUILDING SIZE O k ® SO FOOTAGE® HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> IL� ELECTRICAL S�O�co AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> [ =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY W10.Y1 t2J1�12S <br /> SIGNATURE I REGISTERED I(.YJ N FEE CURREN LaLN <br /> Address +j) 335 License# Gf-- <br /> ELECTRIC) COMPANY a L1 C <br /> SIGNATURE REGISTERED I(YJ N FEE CURREA I Y/N <br /> Address License# <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED YIN FEE CURREII <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREi+ L11N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE I REGISTERED I YIN FEE CURREr, Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIt [ 11111111IIt1I11F110611111t111111111111111111111F1 <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(1 U)working days after submittal date.Required onsite,Construction Plans,Stormwater 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 Plans 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. Required onsite.Construction Plans,Stormwater Plans wl 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 /> Diratons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AfC 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(Ptot(Survey[Footage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />