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'i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting {�J �'�al 0101 <br /> Owner's Name Otd.k yt't� 1hp�Q Owner Phone Number J�' — 9 s 4 '" b <br /> Owner's Address 15 1 I(.&. l. '' t7 V`f-. Owner Phone Number <br /> Fee Simple:Titleholder Name- �— Owner Phone Number _ <br /> Fee Simple11tleholder Address ii <br /> JOB ADDRESS 3e 15� , I V�.LJI I cm l/ynh &r r. On LOT# <br /> t <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR e ADD/ALT SIGN [� 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER I t;A <br /> TYPE OF CONSTRUCTION [�� BLOCK 0 FRAME STEEL 0 - <br /> s' A, , '_ . <br /> DESCRIPTION OF WORK Qw C� 3 <br /> BUILDING SIZE So FOOTAGE= HEIGHT <br /> i <br /> 0 BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> {' <br /> QELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> ' QPLUMBING $ '. <br /> MECHANICAL $ �5 ' G 0� VALUATION OF MECHANICAL INSTALLATION 1G ` <br /> OGAS Q ROOFING Q SPECIALTY OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES .NO <br /> BUILDER COMPANY <br /> SIGNATURE Q^ REGISTERED Y/ N . FEE CURREN Ly/N <br /> Address pals I-a.S S 1 v. u j ►� rh;(I S �3 S I-) l License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI% <br /> Address`'` License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y./ N FEE CURREt: <br /> Address' License# . <br /> MECHANICAL COMPANY' <br /> SIGNATURE _ REGISTERED Y./ N FEE CURREP <br /> Address •License# F <br /> ,OTHER, ;' COMPANY <br /> SIGNATURE :REGISTERED Y/ N FEE CURREN. <br /> Address ;License# I .. <br /> .. <br /> RESIDENTIAL Attach,(2),PlofPlans;(2)`sets,ofBuilding Plans;,(1)set,ofEnergy.Forms;R-O-W.Permttfor,new.constructioh;,,, <br /> Minimum ten'(10)uvorking days after iibm'ittal'date. Required onsite;Construction Plans;Storrlwater Plans-w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/iarge 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 /> Mlhimurrr ten(.10)working days after.sirbmittal date.,Required onsite,Construction Plans,,Storrlwater 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.Engtneeeed Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> FIiI 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 /> `OyER�THE•COUNTER•PERMITTING (copy of contract required) <br /> 'Rerdofs if shingles Sewers Service=Upgrades A/G Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />