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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received F <br /> -117-F-Y-T I Phone Contact for Permitting <br /> Owner's Name Air ;Tl e-6 Owner Phone Number <br /> Owner's Address 11923:5 ZLU/VMJ�7 klOd:5 Owner Phone Number <br /> 7a-In'da �7 dA� IVI <br /> Fee Sim le Titleholder Name q Owner Phone Number <br /> Fee Simple Titleholder Address 111/A <br /> JOB ADDRESS ReV'20jfoq lep� LOT# <br /> SUBDIVISION PARCEL ID# �1-210_ Z1-f A A 0 25no -12A In <br /> {OBTAINED FROM PRO 1rERw-rAx No-ncE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL F__1 REPAIR <br /> PROPOSED USE f Q SFR FI Comm OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK a)(1-5hn1j jAll-)121e i--01 211,) <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> T- <br /> . . . . . . . . . . . . . . . . . . . . . .0.BUILDING 1$&,�Z-Z VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL r__ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING �WKSPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ............. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LXLN J <br /> Address :1 License# F- <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN L_XLN J <br /> Address License# F— <br /> PLUMBER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address :1 License# F_ <br /> MECHANICAL COMPANY I <br /> SIGNATURE FIE-GISTERED Y/ N FEE CURREN f <br /> Address <br /> License# F <br /> COMPANY <br /> OTHER <br /> SIGNATURE REGISTERED 1Yj N FEEARREN I YIN V <br /> Address License#Vrelo Z-03'� <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 subdivisions/large 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 now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Bill Fence Installed, <br /> Sanitary Facilities&I 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&Cdntractor sign.back of application,notarized <br /> If over$2500,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' (copy of contract required) <br /> Reto&S If shingles Sewers Service Upgrades AIC Feitoes,(PlotiSurvey/Foptage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />