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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-Permitting . =14M 10 3 54-2— <br /> Ownees Name L Owner Phone;Number <br /> Owner's Address k4o -31) , FRr=r— LL kt- Owner Phone Number <br /> Fee Simple Titleholder Name ]IF_\fL WO-d4e-Iiii5i Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 46 'a> I I Rr- t-: E4LJ- LOT#. C� <br /> SUBDIVISION PARCEL ID' # <br /> (OBTAINED FROM,PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALf SIGN <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR COMM OTHER FITZ7�PM,6660W. ISM?; <br /> . TYPE OFCONSTRUCTION BLOCK 0 FRAME STEEL , <br /> 4 DESCRIPTION OF WORK AJ 6�1"L DUPWii RWCV4—,T6 <br /> A-) y <br /> BUILDINGISIZE SO FOOTAGE HEIGHT C2�� rl <br /> ­44 <br /> EZBUILDING <br /> 7— 1$ t.tr VALUATION OF TOTAL CONSTRUCTION, <br /> ELECTRICAL r-T AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> TV <br /> =OAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> r->". 1),J <br /> BUILDER COMPANY <br /> :k ova--] <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN Y. N__J <br /> 6, 955J <br /> 5-5 1>1?, LDAJG 32719 # fa 601 <br /> Address License <br /> REGISTERED Y/ N -1 <br /> ELECTRICIAN COMPANY <br /> Sl FEE CURREN Y)/N.v <br /> Addriiss License# <br /> CID PLUMBER: MPANY <br /> SIGNATUR REGISTERED Y/ N. FEE CURREN Y/N`- <br /> ',E <br /> Address . F License# 1 <br /> MECHANICAL COMPANY <br /> SIGNATURE-- REGISTERED FEE CURREN' <br /> AdOe. '' License#' F.Sa <br /> OTHER„': COMPANY' <br /> REGISTERED"SIGN Y/ N FEE CURREN <br /> Address License# <br /> Attach (2)"i6iSof,Building Plans;(l)*.set of Energy F6rmg?,A;O-W'PbrmIt for.new c'onstruction, <br /> ''fteisubrfiittal�date..'Re�uiredontite'MInimumte6 0)working.days�a. ConstructionPlans,Stprmwater Plans,w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAar6e 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 drisite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities,&I 1d6hi Oster.,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)set's of Engineered.Plans. <br /> ****PROPt ' SUk*Y re'quir6d16- 11 NEW construction. <br /> r,i con <br /> ..... ... .... ............ ........................... <br /> .:Dirdctions: <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 ofAttomey(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 Sewer's Service-Upgrades,-Atp Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..heeds ROW <br />