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i <br /> •. a <br /> 813-780-6020 City of Zephyrhills Permit Application Fax-e13-780.0021 <br /> Building Department <br /> i'. <br /> pate Received Phone Contact for Permittin Son <br /> Ownees Name. >a !; mac?VV` Owner Phone Number <br /> —... <br /> Owner's Address 070 Owner Phone Number ' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> - i <br /> Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS LOT# <br /> dl <br /> a ^ y <br /> SUBDIVISION. PARCEL iD# 3- a��0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> WORK PROPOSED NEW CONSTR 8 ADDIALT C� SIGN 0' Q _ .DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE . SFR 0 COMM . Q OTHER <br /> TYPE OF:CONSTRUCTION Q BLOCK FRAME STEEL <br /> 1(( Q ' <br /> DESCRIPTION OF WORK tr f I c i G P�UY1 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUiLDiNG $ ` .. VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ "' AMP SERVICE Q PROGRESS,ENERGY 0 W.R.E.C. i <br /> =PLUMBING. $•,.. .. 2,07i 7 <br /> — <br /> MECHANICAL ' VALUATION OF MECHANICAL INSTALLATION, <br /> c�i�•i <br /> =GAS Q ROOFING 0, SPECIALTY OTHER :I <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> 1-i-i.�-1- 1-iWl-{.4•' ' <br /> BUILDER �� �. COMPANY <br /> SIGNATURE i REGISTERED I YIN 'FEE CURREt Y t <br /> Address License# <br /> ELECTRICIAN'. ° ��`:129ISTERED <br /> OMPANY _ i ��C C.! <br /> ai" i <br /> SIGNATURE P Y! N FEE CORREt, YIN , <br /> l ( .Address ,� � �C� - License# " (21 t i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y J N'" "' FEE.RREt: <br /> Address License# 1 <br /> MECHANICAL COMPANY V iu-S of <br /> SIGNATURE , REGISTERED Y 1"N FEE CURREN /yYIN, I ' t <br /> Address V '- License# Pell dS IJ�"7`7d <br /> OTHER, COMPANY , <br /> SIGNATURE REGISTERED Y'i N FEE CURREt <br /> Address License# - <br /> t,ttttl .l'tllt'Iit.litltiFfli iltltll, 1li11'111"1111.1I111111111111'1lllll'/ I11' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Permit for new construction, i <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,'Stonnwater Plans wl Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work*Permit for subdivisloniAerge 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 wl 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 /> D(rectlons: <br /> Fitt out application completely. <br /> Owner&Contractor sign back of application,notarized. <br /> If over$2500,a Notice of.Commencoment 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 <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retools if shingles Sewers Service Upgrades,AIC. Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter If on public roadways.,needa ROW <br /> { <br />