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' L <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Dgte Received /nor I phone Contact far Permitting ( ) ! -1-1 C '�/ <br /> Ow-1--nees Name 1.� l I 15 (-Lc✓ Owner Phone Number I ( 3 - r✓I <br /> Owner's Address <br /> . J�L90D OwnerPh Phone Number <br /> Fee Simple Titleholder Name Q Owner Phone Number <br /> Fee Simple Titleholder Address N I J /� <br /> JOB ADDRESS C14,1 LOT# <br /> SUBDIVISION F�ARCEL ID# �' Or - U, V -OCCM'CEO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR B ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL <br /> STEEL Q <br /> DESCRIPTION OF WORK a D % v* awpAwIlh e' i c <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> E2fBUILDING S Q VALUATION OF TOTAL CONSTRUCTION <br /> EZfECTRICAL S Q ;C 1 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION l V v <br /> =GAS Q ROOFING Q SPECIALTY = OTHER l fff <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER . OMPAN IU)Z ,dc, . iAc <br /> SIGNATURE �A4REGISTERED / N FEE CURRE< Y/N <br /> Address ( N h r 4C License# ic-BIC-10 <br /> c -Wla `'� Q <br /> ELECTRICIANza�& COIGPANY iV l CCU �- <br /> SIGNATURE h REGISTERED Y N FEE CURRO, I Y/N <br /> Address ' it —k�oaoJ License# I F,C <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREI, Y/N <br /> Address I License# <br /> MECHANIC <br /> SIGNATURE <br /> COMPANY <br /> REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 /> 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,Stormwaler 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 /> Dtrections:' <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 madways..needs ROW <br />