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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received gg c / G <br /> ��1 Phone Contact for:Perinittin D I3 "i�1 - O ��� <br /> Owner's Name VC.1 i o i es Owner Phone Number <br /> Owner's Address H M uD WjDfe55 4" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address Paw <br /> JOB ADDRESS �ddle, ally g LOT# <br /> SUBDIVISION I ev-0d D PARCEL ID# �— ` ^ aS® ` 5��—V <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSEDiUSE 0 SFR 0 COMM Q OTHER- <br /> TYPE OF CONSTRUCTIONS = 'BLOCK ' _� FRAiMME. -STEEL = <br /> DESCRIPTION OF WORK 1 Y 0 l O� �� {� c54 i I <br /> BUILDING SIZE �- SO FOOTAGE=: HEIGHT <br /> =BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ ©. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING .0 SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CuRREP LILN <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRM <br /> Address License#` /�I�1�/� <br /> PLUMBER COMPANY wevwevF7,00 (JCI 'vv 1 <br /> SIGNATURE' ``JJ `n �/ REGISTERED YL W- FEEcURREP - ' Y- <br /> Address -I 1 e Q,U 1•e", T ( . Ucense-# L, . <br /> MECHANICAL COMPANY. . <br /> SIGNATURE REGISTERED. Y/ N FEE CURREA:_ Y/N <br /> Address License#. <br /> OTHER COINPANY <br /> SIGNATURE =" REGISTERED Y/ N..= FEE CURREA Y/N <br /> Address License# <br /> RESIDENTIAL;." Attach 2 Plot Plans; 2 sets of n Plans;j.1 set of Ene' Forms;R=o=W;Permit far new construction,- <br /> Minimumaen,(1.0)working days:aiter„"submiHal date. Required onsite,.Constnaction Plansr Stormwater Plans w/Slit Fence Installed, <br /> Sanitary Feciitties;&:1,;dumpster;•Slte Work�Perrnit for subdtvisions_/iarge:projecfs.=__�,.:::.r ' <br /> COMMERCIAL Attach(3)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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projdals:All commercial requirements-must meet compliance <br /> SIGN PERMIT Attach(2)"sets of Engineered,'P,lansr, - <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. (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 -.-(Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if:an public roadways..n®eds ROW <br /> • - fit°v�r_ <br />