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813.780.0020 City of Zephyrhills Permit Application Fax-813-780.0021. <br /> Building Department <br /> Date Received9' Phone Contact for Permitting i �� ) 3� - 6 <br /> �! �-i��4�- 3�/oG <br /> Owner shame /C Y�i riR1A 4 ®eJ"zt� /y �,4-t,S Owner Phenol umhor tl e <br /> Owner's Address Ii/�Ed I�d1lig 100.0,Zoe/}-O toll L6S Owner Phone Number <br /> 01�� 3G0� ��67 <br /> Fe©Simple Titleholder Name Owner Phone Number r . <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�7 5T+'� ZFC d iZ��1LLs '�L. LOT <br /> SUBDIVISION —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) - <br /> WORK PROPOSED B NEW CONSTR ADDIALT = SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK 1t01 � QA#A*VA11 ON <br /> BUILDING,SIZE SO FOOTAGE �3� HEIGHT- Shot <br /> BUILDING $' <br /> �p ®00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL I$—� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............_.. <br /> BUILDER . . COMPANY �TINTC COQJST`e1.0 TI®eJ =w12. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address SO -rLJ C 1F-J N¢Ea if X11 >t1aJf C l ty sUi License#. C d c wowqll <br /> ELECTRIciAN COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N. <br /> Address License#_i '� <br /> PLUMBER r ;' COMPANY �Y'� rp S 1 V- <br /> `'. <br /> SIGNATURE ° REGISTERED ( Y NI FEE CURREN <br /> Y/N-_l <br /> Address 7a ,.Q�s. vto/ �Pe f=1335tea . License# `,FC 1 4 Z1 y Z!o <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N- FEE CURREN' I Y/N <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N ME CURREN Y/N <br /> Address License# <br /> 1•'IIQII.IIIIIIIILLIIItl11 / 1111111tIB1111111111.111111.11IQIIIIIIIIIIAtI <br /> RESIDENTIAL Attach(2)Pict 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,Stormwatee Plans w/Sift Fence installed,. <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge 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,Storm:vater 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 /> :ate:.:.�„�•_s • . • 1 t-1 i.ia' •.. . • . 1 1 1 . t . . . .d • lit`1 h t�.i.:`-•i <br /> Directions: <br /> Fill out application completely. <br /> Owner.&Contractor sign back of application,notarized <br /> If over$iSOO;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(PloUSurvey/Footage) <br /> ,Driveways-Not over Counter if on public roadways..needs ROW <br />