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813-780-0020 City of Zephyrhills Permit Application �• r«�-o��-,UU-u�" <br /> Building Department <br /> Date Received LkLm I --- --- <br /> Phone Contact for Permitting <br /> Owner's NameF&_0V_C. 6We—" Owner Phone Number <br /> Owner's Address �SFJ '�. "re � Z�ZO Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS li Y I�-r7 �t J�f+�i �G• x LOT# <br /> SUBDIVISION. - PARCEL 10# I'r•GG*G'(.00.70,00 100. 00?_0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN 0 MOVE DEMOLISH. <br /> R INSTALL e REPAIR <br /> PROPOSED USE SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION 4 BLOCK 0 o FRAME STEEL Q OTHER[�-�� <br /> DESCRIPTION OF WORK QLV­.^v 0C_ C #!�611 r _ �r't^019W- <br /> BUILDING.SIZE �� SQ FOOTAGE �� Z HEIGHT �' <br /> ® BUILDING $ f 00t7 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ _ AMP.SERVICE EVI PROGRESS ENERGY - 0 W.R.E.C, <br /> Q PLUMBING $ <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION tttt <br /> GAS Q ROOFING 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y(N <br /> Address F License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# F - T <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT LXLN <br /> Address License# <br /> OTHER COMPANY �.Ol'1Si�r'd�<4!`, ✓uCIU <br /> SIGNATURE .+�� REGISTERED N FEE CURRENT ^ N <br /> Address �I.�v� l I License# G•`s��17 <br /> I LA <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(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.M-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 requIrE ments 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$5000) <br /> **- Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from ov ner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service-Upgrades.•, >:< ,., A/C Fences(Plot/SurveylFpotage) <br /> Driveways-Not over Counter if on public°roadways..rieeds ROW , •,:;•; <br />