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813-78"qO City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildirig Department <br /> Date Re <br /> Phone Contact for Permitting <br /> ' "ZI <br /> Owner's Name Owner Phone Number <br /> Owner Phone Number <br /> Owner's Address J066V41.PPV-e,,- <br /> Fee Simple Titleholder Name Ow4ner Phone Number <br /> Foe Simple Titleholder Address <br /> 1 110 <br /> JOB ADDRESS 0 1,+/,y glow-VNPI I-Mm LOT P <br /> SUBDIVISION PARCEL ID# big g <br /> JOBTACNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON5rR ADD/ALT SIGN Q r .1 bEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> t TYPE OF CONSTRUCTION BLOCK 0FRAME STEEL L <br /> DESCRIPTION OF WORK Ww—vogTe, eXwiJ* rm n" <br /> t. <br /> 1040 4*BUILDING SIZE 110 SQ FOOTAGE HT <br /> [5Z)BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL AMP SERV12E � tFSqENERGY Q W.R.E.C. <br /> ®PLUMBING <br /> 0 <br /> =MECHANICAL F VALUATION OF ANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA X" =YES NO <br /> 1 11-4-4 . . . . . . . . . . . . . . . . . . . . I <br /> ........... <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTEAW Y/ N FEE CURRrh Y/N <br /> Address License 4 <br /> ELECTRICIAN 6OMPANY F <br /> RE REGISTERED U2_N <br /> SIGNATURE _J FEE Wrikfih -F Y _N7 <br /> Address License <br /> PLUMBER Ln 4PANY 2K-�Jg ep COA <br /> SIGNATUREk,-" REGISTERED Y/N <br /> _114Y <br /> Adc Z <br /> 01:;Lire.se# rl( <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEEGUnREA Lelk <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERS) Y N —'7ac—CVMEG- <br /> Address �rvLicense# <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 onsile.Construction Plans,Slormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I clumpster,Site Work Permit for subdivislonsfiarge projects <br /> OMMEWAD 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 oinsite.Construction Plans,Stormwater Planswl Silt Fence Installed, <br /> Sanitary Facilities&I clumpster.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 /> . . . . . . ii, - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Olrectionsi <br /> Fdf out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It over$2600,a Notice of Commencement is required. (A/C upgrades over$7600) <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 AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW, <br />