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813-78070020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> i]­ <br /> Date'Received !'��� � phone Contact for Permitting <br /> I I I� Owner Phone Number 7' y g5 ys 7S i. <br /> NameT <br /> npP�Owners CO+I V$Q 2epkw, <br /> a I <br /> Owner's Address 30 is o pf♦A • an l �A Owner Phone Number <br /> Fee SimplesTitleholder Name Owner Phone Number <br /> Fee Simple,Titleholder Address pp I <br /> JOB ADDRESS g l o ��� idn d LOT# <br /> SUBDIVISION PARCEL Wit �5— .21 0 6 j O 07(d 0 60 0(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q DEMOLISH <br /> R INSTALL VJ REPAIR <br /> PROPOSER USE SFR COMM = OTHER" <br /> TYPE OF' ONSTRUCTION" " ` BLOCK FRAME Q STEEL 0 <br /> �t', tf V m DESCRIPTION OF WORK 2 <br /> i <br /> 'BUILDING SIZE F SQ FOOTAGE HEIGHTf+�1 <br /> a ` B,UILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =,'PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U V�s`'` _ / <br /> Q;OAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> i ' <br /> BUILDER,' /A t 1�r` COMPANY F nh toia� O^ <br /> SIGNATURE REGISTERED Y/`N' FEE C REN, Y/N <br /> Address � 'ill WeS)e ✓2 ar S J ?i`6 License# <br /> I <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y'/-N FEE CURREN Y/N <br /> I <br /> Address License# <br /> .. I <br /> PLUMBER. COMPANY <br /> SIGNATURE REGISTERED- Y/ N`> FEE CURREh <br /> Address License# <br /> MECHANICAL COMPANY> <br /> SIGNATURE 'REGISTERED Y/ N--.- FEE;CURREh------------ <br /> Address - License#.. <br /> ..OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _FEE CURREN: Y/N <br /> Address License <br /> RESIDENTIAL Attach:(2)Plot,Plans;,(2)sets.of_BuildingPlans;(1,).set•ofEriergyForms;'k6*.Permiff6r'iew.construction;, <br /> Minimum teri=(10)worki'rig'days after sutimittal'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 pluss-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-Erigirieered Plans.; <br /> ""PROPERTYSURVEY required for aII.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:(forthe contractor),orPower of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVERfTHE,COUNTER=PERMITTING`: (copy.of contract required) <br /> Reroofs:if shingles Sewers - : Se�(iiiae Upgrades:,NC Fences(Plot/Survey/Footage) <br /> ,;,rice-,. <br /> Driveways-Not over Counter if'on'i1c roadways..needs-ROW <br />