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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> T7n7rrrr=;II_11 J Phone Contact for Permitting' 1(. ........ <br /> .LL .............. ......I.......&.............110 <br /> Owner's Name 5 2�2 � ./M6,K14-4Y VtPhone Number <br /> Owner's Addressl er 5-3 Z v Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple1itleholder Address <br /> JOB ADDRESS 3-1 P LOT III <br /> SUBDIVISION PARCEL ID# 1 12,(:p— -2 0 1 V 0;L 0.700~09 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR e*P <br /> PROPOSED USE Q SFR Q COMM OTHER P&_y71L_C1 <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A/e-A- ^6 1 Jv, <br /> BUILDING,,,SIZE $0 FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> 217PLUMBING <br /> 1$ <br /> 6L6 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING- 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREK <br /> Address License# <br /> ELECTRICIAN <br /> IAN COMPANY <br /> 'SIGNATURE REGISTERED Y/ N FEE CURREK- JY/N <br /> Adare,iss License# F <br /> 4-PLUMBER. COMPANY 3.1-t 1//C if f Al C­ <br /> SIGNATURE REGISTERED Y/ N - FEE'CURREK <br /> Addoiss 16,75 3`1 License# o:z2 Y!i <br /> MECHANICAL COMPANY• <br /> SIGNATURE REGISTERED YJ N FEE CURREK L-_Y/N <br /> Address License# F- <br /> ,.OTHER.:- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK. <br /> Address License# <br /> Ift ............ <br /> HH HHHHH! H,HHH!,!l�HH! l'i:H4,HH H it, <br /> R,ES Attach,(2),Plot-Plani;t -Sets of Building Pla"ns;,(I 114)set of Energy Forms; 3�.'W-Permit.for new construction, <br /> Minimum'ten <br /> '(1'0ywor k(2)ing days aft6rsdbmlttalAate: Required drishe,Construction Plans,Siormwatet'Plans.*/,Sllt Fence.installed,- <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisio'nsAarge projects <br /> COMMERCIAL Attach(2)complete setiof Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new Construction. <br /> 'Minimum,tan(.10)workinodays after submittal date..Required <br /> equit6d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.Facilifies&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)4ets of.Engineered Plans. <br /> ****PROPERT-Y-SURVEY required for all NEW construction. <br /> ......................... <br /> Directions: <br /> Fill.out application completely. <br /> Owner.&Contractor sign,b I ack of application,notarized <br /> If-over$2500,a Notice of Commencement Is required. (AfC:upgrades over$7500) <br /> :Agent(for'the contractor),,or Power of Aftomey-(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER;THIS COUNTER PERMIT-TING (copy of contract required) <br /> RerdbiSIff-shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />