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r <br /> 813-780-0020 i City of Zephyrhills Permit Application Fax-813-78MO21 <br /> Building Department <br /> Date Received I — Phone Contact for Permitting <br /> Owners Name ClkQt �� Tel-����s Owner'PhoneNumber <br /> Owners Address lP8 S l S l t;P �NS Pk l Owner phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress/ n ` <br /> JOB ADDRESS to9S1 LOT# SS <br /> SUBDIVISION SQlt�iJs �('� PARCEL ID# o16G-o0000-O5'�;-o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 7�, Au O t2:,>I O N S't, 1 1 E k---- <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> ' . .ELL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> DING $/_'�-I$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Cl) <br /> =GAS = ROOFING Q SPECIALTY = OTHER �" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 3 T 'A <br /> BUILDER /f! '='r °j(�' OMPANY D C. S ILCG <br /> SIGNATURE 111 REGISTEREDI Y/ N FEE CU REn I Y/N p-y� <br /> Address License# v V <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt, LY.LN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURRFA I YIN <br /> Address License# <br /> IIIIIIIIIIt111111111111111111111111111111111111I1111111IIllltlllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,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 Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onstte,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 /> Directions: <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 Attomey(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 />