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sf�7saoo2q j8/a �! City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department* <br /> [7-- <br /> r <br /> Data Received Phone Contact <br /> tforPermittina ( F <br /> . . . . . . . . . . . . . . . . . . a I I I I I - . . . <br /> Owners Name CAO Owner Phone Number ifs—70 <br /> Owner's Address 14,0/7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 .19017 5o07%14 <br /> vi ve. LOT# <br /> SUBDIVISION lm-aer me-,oe& 0/00—,&000140—toot,6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F--1 NEW-CONSTR--T ADDIALT F---1 SIGN F--1 DEMOLISH <br /> E-1 NSTALL REPAIR <br /> PROPOSED USE E.4--�SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK FRAME STEEL = I <br /> DESCRIPTION OF WORK brle*10 ' .4e Act 7,;V�11--rAl-5— <br /> BUILDINGSIZE SQFOOTAGE HEIGHT <br /> -r-1 I Z r-r-1 I r rrrn-7-1 I I I . I . . . <br /> . . . . . . . . . . I I I I F A I I A . . I <br /> =BUILDING 1' 231-7 — I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 WR,E.C. <br /> =PLUMBING $ <br /> =MECHANICAL i$ VALUATION OF MECHANICAL INSTALLATION 60 <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER OMPANY <br /> SIGNATURE J7Z.2 <br /> REGISTERED I Y/N I rEECURREN Ly 9� j II LN_J <br /> Address 1APw License V1X - <br /> 111 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEEcuRREA L_Y.LN J <br /> Address License#F— <br /> PLUMBER COMPANY r <br /> SIGNATURE! REGISTERED YIN FEE cuRREr, L_YI_N J <br /> Address License#F- <br /> MECHANICAL COMPANY F <br /> SIGNATURE REGISTERED YIN FEEcuRREt, L_yl N J <br /> Address 77771 Icense# <br /> OTHER COMPANY [ <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address License#F— <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&I durnpister,Site Work Permit for subdivislonsfiarge 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&I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construcrion. <br /> .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> I,ClIont <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 ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERTHE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades Aid Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />