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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 — <br /> Owner's Name 6)_A 1/1 Ai _r W E/d dC;14 fwC Owner Phone Number <br /> Owner's Address (0 6 MCOMM0 E Milb Owner Phone Number /+ <br /> Fee Simple Titleholder Name ��•e r:� Owner Phone Number g13-399 ��56 57 <br /> // i r i <br /> Fee Simple Titleholder Address Ccl^^30 W C 6 7-ce, �r w l 7S <br /> �p301 �+C AA__ LOT# <br /> JOB ADDRESS / J� ,+�I ,Ul4 D <br /> SUBDIVISION L�� PAT PARCEL ID# 3 -.1 6 — — 01-3- 0 D OD 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED,USE = SFR = COMM = OTHER Fe,%C.6, SNS <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK �ety%wje, d d w n c-c AYV J ' V G <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT ' <br /> i <br /> =BUILDING $ 70 7o - VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 4 <br /> BUILDER i .� COMPANY C�,6 Qi d1G¢� LL-C{ <br /> SIGNATURE REGISTERED Y/ N FEE CUR Et` Y/N <br /> `s <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER; COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i <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,Stormwater 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 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. j <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />