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n <br /> J 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owners Name -DOV Cl L A S S M 1 T-0 Owner Phone Number <br /> Owner's Address Ul5 IS[S W A 6 0 N t K R S L S T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> ((�� I —r� <br /> JOB ADDRESS C�5 LV J W A C,O N r R ALL S r• LOT# <br /> SUBDIVISION PARCEL ID# O S -2Co 'Z I ' UO g 0 ' 0 0(a 00"6 270 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTON OF WORK -TNSmwPTT—Qfs QT pl-i() OVOL y�17C <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $•Z Q O O. ((Q VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $i 2 O Q ZQ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING ( Jo dU <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> •BUILDER �l rV COMPANY •� —•1 IA�F�--S O tfA <br /> SIGNATURE r r�(((/// REGISTERED Y/ N FEE CURREN I Y/N <br /> Address `] License# <br /> ELECTRICIAN "COMPANY v 1 v L N r S O LA lZ b F—V E LOPE <br /> SIGNATUR v l REGISTERED / N FEE CURREN Y/N <br /> Address vl. NA AVE TAHPA License# I ECl 3000P7�( <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111111111111111 <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 ail 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 (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 />