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66/0 ll S;:/6 Z <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ Phone Contact for Permitting ( -- <br /> ® enouoea <br /> Owner's Name �!N}�/n)��y �� I� e V��/�� Owner Phone Number �-4 <br /> Owner's Address 1 2-5 412, CAS✓Q6 �, j0,15+c;1 '6 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS p LOT# <br /> SUBDIVISION PARCEL ID# � 5 GG ®��d/J 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 11 FRAME = STEEL <br /> DESCRIPTION OF WORK LlJ.O G` :5�I6, <br /> BUILDING SIZE SQ FOOTAGE® HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION ��^� <br /> =ELECTRICAL $ d AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER GGG <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA =YES NO <br /> BUILDER + _ ` C MPANY �, <br /> SIGNATURE REGISTERED N FEE CURREN Umi <br /> Address �Q iJ F/, 34WVFREG[ TERED <br /> License# �Z S-a��© d©g / <br /> ELECTRICIAN ' �" Y , j® Y <br /> SIGNATURE �7 / N FEE CURREN N <br /> Address /7� VS 6 3:5e,7 License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> 1111119111111111111111111111111111111111111111111111111111111111111 <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. <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(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 />