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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 9 j� 5 7 rJ _ '-�-77 2- <br /> v I �1� }/� Phone Contact for Permittin <br /> Owner's Name 3 Ner� c7� II�1'U r Owner Phone Number — <br /> Owner's Address ass �{� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address�yr ', (� <br /> JOB ADDRESS ✓r, cr �� r1u"LtC. ,1,1 3942 tLrOT# <br /> SUBDIVISION twm l2 � 1t. h tlS PARCEL ID# -ZU"ZI -M10— 10tf_V-01,1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW <br /> CONSTRALL a REPAIRT = SIGN = = DEMOLISH <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q y�FRRAME Q STEEL Q <br /> DESCRIPTION OF WORK R I- CfaUt� lJ V L(;r 2 m 14 Car rwrton c Sc <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ S�O VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Ly/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREr Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address License## g /*'` <br /> MECHANICAL G_ �` COMPANY �ht�hi'� pcah!Z j t v col ,If�IC• <br /> SIGNATURE REGISTERED Y/ N FEE CUR !, I Y/N�9 <br /> Address ! 314 w�{'r . AfrL"1 U'1Q ICJ 33lcl�, License# G <br /> I�f 1�1 Cl99 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREr I Y/N <br /> Address License# <br /> 111111111111111111111.1111111111111111111111111111111111111111111111 <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,Stornvrater 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(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 />