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013-780-0020 City of Zephyrhills Permit Application Fax-E13-780-0021 <br /> Building Department a <br /> Date Received phone Contact for Permitting 1 S is <br /> Owner's Name Owner Phone,Number �r" - -0 �s <br /> Owner's Address 3 iS Alln IZO?- Owner Phone Number —� <br /> Fee Simple.Titleholder Name Owner Phone Number �— <br /> r <br /> i - <br /> Fee Simple Titleholder Address r f ! <br /> JOB'ADDRESS l J 13 h Z� j j LOT#• <br /> SUBDIVISION PARCEL ID# 'I��a�` a I CAl 0- G' ,�O o-0G3� <br /> i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR, ADDIALT Q -SIGN Q Q DEMOLISH <br /> j INSTALL 8 REPAIR <br /> PROPOSED USE C] SFR ] COMM OTHER <br /> TYPEIOF CONSTRUCTION Q?? BLOCK, --,FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> f i .. <br /> t � <br /> t BUtLBING SIZE �� SCt FOOTAGE I 01 HEIGHT <br /> ! ; 14 <br /> l BUILDING $ '` n�'. <br /> �on`91..7�-:�� VALUATION OF TOTAL CONSTRUCTION ' <br /> /%` <br /> l�ELECTRtCAL ($ — AMP SERVICE [T� PROGRESS ENERGY Q W.R.E.C. ✓ <br /> F_ i <br /> QPLUMBING $ <br /> OMECHANlGAt $ VALUATION OF MECHANICAL INSTALLATION <br /> r� <br /> OGAS Q ROOFING Q SPECIALTY LJ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER %� -� COMPANYb�(: H`�o�u GcA,5TRrn'( au <br /> SIGNATURE G, 4 V REGISTERED N FEE CURREN I Ul N. <br /> Address License# <br /> I r <br /> ELECTRICIAN irr COMPANY:SIGNATURE V r r tZo REGISTERED Y/'N FEE CURREn _Y/N - <br /> -. <br /> Address �' License# ( 1;; )l o <br /> PLUMBER Jj/!� / COMPANY ` t�StAJJ�rSs Gs.�Gll,rt 1�4- <br /> SIGNATURE r / rVtJ REGtSTEREp I -;�/'N FEE CURREt Y/N <br /> Address I,Gf 6 1 License# Fc, q -2- <br /> MECHANICAL I COMPANY �lQ{�9.`5 _&,,9s,-�o—'N�-�-� �sy s-LAl <br /> SIGNATURE —�'�"" ,( REGISTERED Y/ N FEE CURREr+. t Y/�N �j� <br /> Address Q /� License# 4 4 G o Y 39 i. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREi Y/N <br /> Address,. License# <br /> RESIDENTIAL Attach(2)-Plot Plans;(2)aets.of Building Plans;(1)set of Energy Forms;R-O W Peimit for new donstruction, <br /> Minimum#en(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fatalities B 1 dumpster;Site Work Permit for subdivisionstlarge 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 subrriittal date:Required onsite,Construction Plans,Storrnwater 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$2600,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 (oopy.of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C ' Fence's(Pidt/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />