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-'i613-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �/ <br /> Date Received 3 P C phone Contact for Permitting 0 J3 <br /> Owner's Name Z%w Owner Phone Number ��J4 V <br /> Owner's Address O I? 7�es� / +C/ �/ Owner Phone Number <br /> Fee Simple Titleholder Name L Owner Phone Number <br /> Fee Simple Titleholder Address q <br /> JOB ADDRESS ! / DUt�I� I / LOT# <br /> SUBDIVISION PARCEL ID# 12/0fClti` z/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR= ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ' _ --COMM `•,0 OTHER <br /> TYPE OF CONSTRUCTION =--'----BLOCK- = FRAME 0` STEEL = <br /> DESCRIPTION OF WORK 1/5-� Go J� ���lee <br /> /� 5�kn <br /> BUILDING SIZE SQ FOOTAGE -56 Sk HEIGHT <br /> BUILDING $ c/(/V�f o VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVAT NS Ir FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY �-`'`� V—Kr-Q�"Z �� ' V, <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address �I4� z S/ �'(y��Y /C� �3 License# I coQ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LZ/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address License# <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 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 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&1 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 /> 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 />