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813ae0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permitting <br /> ME Is <br /> V <br /> Owners Name n 1 /'e/C' Owner Phone Number <br /> Owners Address Al �rx ��• ✓� Owner Phone Number <br /> Fee Simple Titleholder Name t/- �'' Owner Phone Number <br /> Fee Simple Titleholder Address ��/)-(//+ °, <br /> JOBADDRESS I� 1t/(�� �/}�Le ��i vim. LOT# <br /> SUBDIVISION 5 r!d? Ott(CS PARCEL ID# D3- a l!J-oP 1 0f 5V -D O D- 00,9(] <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1/C A n t°l)J+- 5--loll I Y SF(i2 la P V&44 c9-( <br /> BUILDING SIZE I S;M112-S4;Z'iY SO FOOTAGE �lo�oY HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE _ 'PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> MECHANICAL $ - o -) W VALUATION OF MECHANICAL INSTALLATION <br /> 4W- Z_.,f <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREh I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE t� � <br /> REGISTERED Y/N FEE CURRE/hi y/N 7 <br /> Address ) Uh/ �t 1 A M / Ft 3� I License# �T� C!�$ /S � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/'N FEE CURREh LXLN <br /> Address License# <br /> Illtllltlll1111111itillllltlll'IIIIIIIIIIIIIIIiIIIIIIIIiIIIIIitlllll <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 subdivisionsllarge 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!Slit 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. (AIC 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 OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />