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t <br /> /13-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> b>' .- Building Department <br /> /R ceived Phone Contact for Permitting ��� 7J S — � c3 <br /> ner's Name (�q� v �v� /n �Awner Phone Number g� S,2J <br /> Owner's Address d . / Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> r. <br /> Fee Simple Titleholder Address �� )) / <br /> JOB ADDRESS , � &l/lit/� �/U LOT# <br /> SUBDIVISION PARCEL ID# ���t� �G�J—�����.334P—1�0/0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN 0 = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK �IJ� 3 /7 150 �/ &d Q al . <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> L�UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,( <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY LI N�✓L 60,, YL UG'j)4W aF fzo n 1 D4 <br /> SIGNATURE D REGISTERED Y/ N FEE CURREA Y/N <br /> Address �i('(lo0 S•�5`� v•►I f 1 1-�rZ 7 3SSg License# G RJG DlaG ZZ� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 Attomey(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 /> Drlveweys;Notover,Counter}if;on publg.roadways..needs ROW <br /> .-..�. a -.....ty,.--....e•.t-.o--. ., -o.r. ..., ,.•... ._.r- - .�..:. t'.d'Ci: _,;.tS <br />