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813-780-0020 City of Zephyrhills Permit Application Fax <br /> Building Department <br /> Date Received 7 / Phone Contact for Permitting - <br /> Owner's Name 1171--r^� ( / d O er Phone Nu <br /> n � 1 <br /> Owner's Address C. ✓ A i V-/v In•• Owner Phone Number <br /> Fee Simple Titleholder Name lG Owner Phone Number <br /> Fee Simple Titleholder Address V - e r`'V, t L <br /> JOB ADDRESS J K Vol., Ci ( LOT# <br /> SUBDIVISION ,` S L C PARCEL ID# V"L(j -��'V d —o U(o ap - w <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL Q (� ,9 <br /> DESCRIPTION OF WORK v d f G /y� [�-C� 1� VLF r t� i� <br /> Ad <br /> BUILDING SIZE /� Z_ 6" SO FOOTAGE —I � U HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ ;L1 AMP SERVICE4D4 [�Z PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ / -,7 012 <br /> =MECHANICAL $ 1 od VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER 104n <br /> FINISHED FLOOR ELEVATIONS B6.; 1 FLOOD ZONE AREA 779YES NO <br /> �z ,ram _— <br /> OMPANY <br /> SIGNATURE GISTERED Y/ N FEE CU Y/N <br /> Addres Fclix, 2g 4fCV\" m�r.icense 9 <br /> _ <br /> ELECTRICIAN LOPF <br /> j/ COMPANY l� r1)L(Z l � drZ_0—SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address "/ c, it ,f;:Y ('�y q P AIq�u elf License# I <br /> PLUMBER ^^ COMPANY <br /> SIGNATURE ` REGISTERED Y7 N FEE CURREN I Y I N <br /> /)L / � <br /> Address 2 U U�� r�4� License# C <br /> f7c-!O�M <br /> vt� ,�H�-s zo eta£ �,as -aMECHANICAL PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> �II ddress License# C Q <br /> COMPANY �:, o-,' _._:"•"•o !...:a —if 't. <br /> Sf9NATORE REGISTERED 'Y -`FEECURREN Y/N <br /> Address ��? �:. -tl\\ License# <br /> 11111111IIIIII111111111111111111111'lllllllllllIIIMP leis-iiil'lllllllllll <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,Stormvater Plans w/Sift 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 /> DlrecUons:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Pover 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 /> ij <br />