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813-780.0020 City of Zephyrhills Permit Application Fax-alsaso-ooze <br /> Building Department <br /> Date Received Phone Contact for Permitting ( �3 ) /07 - /G /7 <br /> TT"TTfI-l' r�-m-T_T-i-[ i'rrri' '1"7'1 1 <br /> �0 ��"" )/ <br /> Owners Name S pT J la,.. )�.f.�(( 'f i'12/�./ � Owner phone Number <br /> Owner's Address 3 7 jyf c?Cl 1 C3�t•1 t/t?j�/01,J iV I Owner Phone Number �- <br /> Fee Simple Titleholder Name C -^ Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �} !/ <br /> JOB ADDRESS 9f/ 310-t,/-I�L/t�1 YYC1/j <br /> L:} �r r��N ' 3 35�2, LOT# <br /> SUBDIVISION Is lddert &V I PARCEL ID# d r � - .1 -oogo `00000-05 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e IN CONSTRALL 8 RADDIALT EPAIR SIGN Q = DEMOLISH <br /> PROPOSED USE O SFR 0 COMM JOE U <br /> TYPE OF CONSTRUCTION Q1 f BLOCK[ 0 FRAME p STEEL Q <br /> DESCRIPTION OF WORK. '7 1 -k` w L /r7 i 1 I V G Ct F')( 1i l v) d Cie- X/Lrs�G <br /> BUILDING SIZE ( Sol FOOTAGE = HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL (S AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ � • <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE { REGISTERED YIN FEE CURRFh Y I N <br /> Address I License#F- � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# �^ <br /> MECHANICAL COMPANY !}h <br /> SIGNATURE REGISTERED Y J N FEE cuRREn YIN <br /> Address License# <br /> b r �( <br /> OTHER COMPANY /_S% C`-- r••'' l�� �e llI LC�; /F� G• I <br /> SIGNATURE � ) REGISTERED Y/ N FEE CURREN Y/N ry <br /> Address �Jf LI G✓X. License#I lurk . <br /> 111111111111111111111111111 IIIIl11I111111111111illlllllllt11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildin 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 subdivisionsflarge 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/Sift 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 PERMITrING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />