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j <br /> 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received C <br /> 40A <br /> CO <br /> (n`n/' � Phone Contact for Permittln <br /> Owner's Name 1 1r CAV * I 1 Owner Phone Number <br /> Owner's Address 4' C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> .BOB ADDRESS 35WODor a ,VJfJ`f,, <br /> p �^�LOT# <br /> SUBDIVISION l l/M PARCEL[D# � -a -a l' �C)'oV50D —o I W <br /> (OBYAINED FROM PROPERTYYAX NOTICE) <br /> WORK PROPOSE® NEW CONSTR ADD/ALT- SIGN DEMOLISH <br /> ® INSTALL 8 REPAIR <br /> PROPOSE01USE SFR 0 COMM ® OTHER <br /> TYPE OF CONSTRUCTION Q,/ BLOCK 0 FRAME STEEL �] <br /> DESCRIPTION OF WORK 1 U -, an t 5AO 11 <br /> BUILDING SIZE 30 FOOTAGE= HEIGHT <br /> 6444 <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> 4.PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING .0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN LYIN <br /> Address License# <br /> ELECY'Rtr'!" COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address p pL�i�cense# <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREP - /N 2 <br /> pddi ors Ll lb i 1 •7 Y 11 erl i 1C_ License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I..Y/ N - FEE CURREP= <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREF I Y/N <br /> Address License# <br /> RESIDENTiAL" Attach(2)Plot-Plans;.(2)setsof Building.Plans;(1)set of-Eriergy_;Forms;R-O-W Permit for new construction, <br /> Minimum ten(•10)working,days after'submittal date.'Required onsite,Construction-Plans,Stormwater•Plans wr/Silt Fence installed, <br /> Sanitary Facilities.&1 dumpster;•Slte Work'Pennit for subdivislons/large projects <br /> COMMERCIAL Attach(3)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 /> 9111111011 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2800,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 <br /> OVER THE COUNTER PERMITTING . (Front of Application Only) <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 />