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e13-7e0-ao20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / Phone Contact for Permitting ( 3 79� <br /> Q �7 <br /> Owners Name <br /> /�jq 1 % Owner Phone Number f9—76- / 7 11 <br /> Owners Address I�i/Z/(�tJ i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder/Address <br /> JOB ADDRESS / IS fete;;a' �2+ +o�� > LOT# <br /> SUBDPJISION PARCEL ID# �y�10 / d 161) '61 W <br /> (o6TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q, FRAME = STEEL Q ./ <br /> DESCRIPT ON OF WORK es, �C Gr'{�N e^p v_4 3 7-anJ Cam» ,066eW-45 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> ,MECHANICAL S �+ 11 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURF REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN LILN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL � Q,(/1 Jj COMPANY 819w S r nvye�v'9 J_/4C <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address y��/ z�/ai/!S G license# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREI, <br /> Address License# <br /> Iltlltlltllltlllltllllllllllllllllltllllillillllllltllllltllllllttl <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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,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 Attorney(far the owner)would be someone with notarised 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/Footege) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />