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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 Permitting <br /> .............. ...... .....I.......... ..............rrIn ............... <br /> Owner's Name kq r L-L(2, Owner Phone Number <br /> Owner's Address r t.-j_RQgiyQ qA.SSG-110 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address F-- <br /> JOB ADDRESS 17�3 ?-1-M)leA)0,e-1 Zeebvy 16- V L 3 LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR . ADD/ALT SIGN DEMOLISH <br /> t e INSTALL REPAIR <br /> PROPOSED USE Q SFR F-1 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> i. <br /> DESCRIPTION OF WORK ufnratie, sexyi cv-, <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL RA <br /> `� SERVICE F-w-1 P 0! RRFA ENERGY W.R.E.C. <br /> C) o <br /> =PLUMBING $ ez-., <br /> 1 17 A 3 <br /> [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION I CAD P—-- <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY -777-- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN L_)LLN_J <br /> Address P>W%V). F:L,3353-i I License# F—Fe- aooc53 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N J <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L-1=N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address I License# F- <br /> 1 1 1111 Fl- 2 1 mHHH"HHH" HHH <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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&I 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 /> 111111 1 111141;1 1!1!;1 111111 s 111;1111 a 1 a 1111111 1 a 1111 W 11 1 1 14i <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. (AIC 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 /> -7 <br />