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813-780-0020 City of Zephyrhills Permit Applicatio FaX-8 3-78UO21 <br /> Budding Department <br /> Date Received ln2no Contact for Permitting A <br /> Owner's Name Q�\ C.kpA Z�e:N:�sp e- Owns Ph no.Number <br /> Owner's Address -?-A Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Nyt- -LA ;:I, In 5'yL= LOT# <br /> SUBDIVISION PARCEL IDDF_1,l-�(._1t-a of C)- I"3 I oo- OC,I <br /> (osTAtNFd From PROPERTY TAX NorcE) <br /> WORK PROPOSED NEW CONSTR F1 ADDIALT F__1 SIGN F-1 F-1 DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK A-, 7PO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . riv . . . . . . . . . . . ­ . . . . . . . * . . . . . . . . . . . . .=BUILDING 1$ 2 po VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL is AMPSERVICE Q PROGRESSENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER IT -'4'k sa!�4e_' <br /> SIGNATURE C_0`_P=Y I YIN FEE CURREN I Y/N <br /> Address License# c -0 st 19 <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEE CURREN L=N <br /> Address F_ 7 License#F_ <br /> PLUMBER COMPANY = <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN LILN J <br /> Address ILicense# <br /> MECHANICAL REGICOMPANYSTERED I Y/N FEE CURREN YIN <br /> SIGNATURE <br /> Address License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I YIN I FEE CURREN Y/N <br /> Address License# <br /> rrrrrrrrrrrrrrrrrrrrrrerrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrerrrrrrrrrr <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(i)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plana w/Bill Fence Installed, <br /> Sanitary Facilities&I dumpster,She Work Permit for subd[visionstlarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Ste"Twater Plans w/Sot Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all now projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> -PROPERTY SURVEY required for all NEW construction. <br /> no - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . <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$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 olApplicallon Only) <br /> Rmoofa If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />