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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone,Contact for Permitting1 <br /> "7-F-iT'[T """ "'�""n•"r' f">-T'771""111"""iii i-T'TTi y _ . <br /> Owner's Name em <br /> 2 C u, L,.`.a'fC 1 t" Owner Phone Number <br /> Owner's Address 38353 1 4+-1- f}vP_o Z.ITI I S Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 1393539 ul.. ++ _i3S a LOT# <br /> SUBDIVISION F PARCEL tD# II- r7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR. 0 COMM ItJ- OTHER <br /> Q t <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME _J STEEL = <br /> DESCRIPTION OF WORK ME 1 10-ct W6 N <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> rr-��-rT-mr-rT+�rri�nrrr-r.rri-r-�-mr-r'r•n-rr-r-r-t-t-r-rrrr^rrn--r=rrrr-i-eT^r�rr-r-r-r•e-r-r-rere�r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING ($ � - <br /> D6MECHANICAL $�2r j—jo;jtC� VALUATION OF MECHANICAL INSTALLATION <br /> ROOFING QGAS = = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> -I.i�i-l-i•i..i�i-6-1-i-1-1+{-1-1-5.'.-0-r�-1:ri-{�1-�i-L-1-I..F-i-�L-l-4-H-4/-1-i--L-1-li-4a-�1+.6-4-t•-f=1-L-1-4-f-1-4.1-1..4-1-4.i-l..l-i: <br /> BUILDER COMPANY <br /> SIGNATURE ^- u--_� REGISTERED I Y/ N -FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> ' SIGNATURE REGISTERED I Y/ N FEE CURREf. <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE t j REGISTERED I 'Y I N " FEE CU�RRE`f `'Y/N `J <br /> Address License# i• �I <br /> MECHANICAL COMPANY f C(n I CCll 'St-au IG-S U 44 C C1 k <br /> SIGNATURE __ REGISTERED <br /> r YIN FEE CURREI, Y/N j� <br /> Address C) kalo Y�fi1 .3�J 3CI License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> Iiltlilllittltlliti { till { 1lliltltillit { I { i1lClltlllillllilillttllit <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 tan(10)working days after submittal date. Required onsite,Construction Plans,'Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safely 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 dumpsier.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 /> D-:Direction.: <br /> '- -:-i {.1•�f.i-l-I-i -F.i�-''.y-:�-isi-i-'r+'-ri-�'= •F�-i.�-i.{-i.{-i-{�1.w'�.:-{.i-i.I-i-i.i-'^�'-'�=�t-:-iy <br /> : <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 />