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613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /� / <br /> Date Received ((e y.� Q�r p phone Contact for Permitting K ' f �j— <br /> Owner's Name T�/SSeX 470`,I L Owner Phone Number d 7 'q 37 <br /> Owners Address 710 Lawei /1c►M M OC/( ID/: Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / ,p n <br /> JOB ADDRESS "jrj� &W �')�CA Dr. /t I? LOT# S✓C[ <br /> SUBDIVISION OAr V^ PARCELID# 3 q_PS_a 1 —0 J0_0gOO� '95h <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION Q / BLOCK Q ,/ FRAME /= STEEL = <br /> DESCRIPTION OF WORK J�2 trfl^g owS �N W,'s J/W AW 31'ZQ <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ f 1 L(1 Q VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �S <br /> f� <br /> =GAS = ROOFING = SPECIALTY = OTHER= / y// Job <br /> _ L l 3 <br /> FINISHED FLOOR ELEVATI NS FLOOD ZONE AREA YES NO `� C!J/,�l <br /> BUILDER COMPANY /71 OI 41",0Ir y^C' <br /> V <br /> SIGNATURE I REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address 15e �S ' w-gle, V? _ License# C COj AI- <br /> 0- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 1 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> I t 1 1 t 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t I t 1 1 1 I t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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,Slormwater 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 />