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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `J L` III, _09 <br /> Phone Contact for Permitting <br /> � irrrrrr rrrr <br /> Owner's Name n `` \-Nl2Sc�a S�uCi� Owner Phone Number <br /> Owner's Address OCO \,'& llr�t2CJ a ` Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address \ <br /> JOB ADDRESS LOT# <br /> SUBDIVISION i PARCEL ID#F3 21-03CO-CAZ O� -0132-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coNSTR e ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q�� FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> BUILDING $ t 0 t,0oz> VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ZSrcoO AMP SERVICE _ _ PROGRESS ENERGY = W.R.E.C. <br /> E2fPLUMBING $ 15 <br /> ' OO <br /> MECHANICAL $ n f10O0 VALUATION OF MECHANICAL INSTALLATION "(J <br /> =GAS =-1 ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER t I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ^ Addres License# <br /> 1LECTRICIAN COMPANY <br /> SIGNATURE V•YA �+ \' REGISTERED Y/ N FEE CURREN Y/N <br /> ddress i License# <br /> •y�} �( PLUMBER (` t COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> ddress License# <br /> MECHANICAL � " '+ r COMPANY p/Y(!�l�O vr/LE�/�L �ESyI-y So -Ty� <br /> SIGNATURE p REGISTERED Y/ N FLE CURREr I Y/N <br /> Address G- JC p z ✓� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <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,Stommwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 onsite,Construction Plans,Stornwater 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 /> rr � rrns� r � rrrrrrrrrr � ri � rrrrrrrrrrrrrrrrrrrrrrrrr � rrrrrrrrr � r � rrrr � � r � t <br /> Directio : <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(far 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 />