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Fax-81 - -0021 <br /> 813-780-0020 City of Zephyrhills Permit Applic -0" <br /> Building Department <br /> Phone 316 2� )-7 q <br /> Date Received Contact for Per-mittin 7 2 9 Z/O <br /> I I I .... I I A . J J . A_JL loll <br /> �w <br /> Owner's Name Owne QnN Number <br /> Owner's Address -7 AAC Owner Phone Number <br /> Fee Simple Titleholder Nam, I t-)I-+ I owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F`i>sb 3 2� -7 Zej- k 11 h IWS S . LOT 0 1 '20"9"9 <br /> SUBDIVISION *+ PARCEL ID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Ok if a— Q vvu-,,, 7FL- <br /> Saxna <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . eggs . . . . <br /> 7ILDING VALUATION OF TOTAL CONSTRUCTION <br /> 00 1 <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING ($ 9�IS8 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION (T) <br /> =GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> t/VCOMPANY <br /> � 7)is C-7a,4--y bo a e7s 0M <br /> BUILDER (C PANY <br /> SIGNATURE REGISTERED [(Y I FEE CURREN <br /> Address J50 License# F& e rZ6-q 7q <br /> ELECTRICIAN COMPANY = <br /> ,SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address License# <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 date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> _C0,101ME-RCIAL Attach(2)complcto sets of-B-.1I.1irg-FIsnz-plus a-Life-Satdty-Page;-(1 Y seVof Energy-Fuf-rtis.-R-O-V%f-Pe�rrfftt-id-r-r-idw—do-ii-s-tiu-ctFori: <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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> . . <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 />