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I S <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting J�7 /W — J"'�/ <br /> IIIIII11 11111 <br /> Owners Name �n1Qc �C- Owner Phone Number �13_ 31'q—16 °.V <br /> 14 <br /> Owner's Address l0 fJ r 5 ✓ i ( . Ze` y rOwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder <br /> Address <br /> r••ess <br /> JOBADDRESS reA ls 9 Ave. ( <br /> 't LOT# <br /> SUBDIVISION PARCELID# j "04-1;' ! 0 �—V 8'0 <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 //STEEL 0 <br /> DESCRIPTION OF WORK c �— I(l C J `�, <br /> BUILDING SIZE D`+'` cSG1 G SQ FOOTAGE '" HEIGHT &V rc C(-1 <br /> TT7Trr1 <br /> =BUILDING $ g'S()1` VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ v V AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2{�[ <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA LZI N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> ddre License# <br /> OTH IQ/ .i COMPANY 1 �J <br /> SIGNATURE ���/__l� p, REGISTERED `, Y N FE CURREK Y/N 2 <br /> Address \Wf'YtG b -��1��e) 3—f�` License# CCC- k NN03i <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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. (A/C upgrades over$7500) <br /> •' Agent(for the contractor)or Power of Attorney(far 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(PIdUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />