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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RIfte ived 3^19 (^phone Contact for Permiftin <br /> Owner's Name /�'}} Owner Phone Number <br /> Owner's Address N 105 '1 O p Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS c�Q a S 1 TN S r LOT# <br /> SUBDIVISION PARCEL ID# I ^7—(19-2—J —Q 0 1 1 O G L4 $0 a- co 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK 1:NSTAI.LMTTON Cr RC F-MQUNTED PHOTDVOCTATC SOLAPL )W e:L <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT 1 J <br /> BUILDING ` Z� VALUATION OF TOTAL CONSTRUCTION <br /> 12 <br /> E!fELECTRICAL <br /> .g" AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ / /J 1& <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IOL ' 6/ <br /> =GAS = ROOFING = SPECIALTY = OTHERf27j 1�J <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> BUILDER J 10� ©OMPANY• •VVTI a SO uq-12 .DEVE LO PEA' <br /> SIGNATURE REGISTERED W1 N I FEE CURREN Y/N <br /> Address SI00 W2_ ANNA W Mi JPA License# EC600(o-7 <br /> ELECTRICI (�� 5C MPANY V T VZJU T 90 L A Q DEV"P" <br /> SIGNATU REGISTERED / N FEE CURREN I Y/N <br /> Address IS1,00 A[-PQUNAAVC Tn 1713 License# EC13oo4z46 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsnarge 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 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$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 (copy of contract required) <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 />