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:,•:s 813-7eo-0o20 <br /> City of Zephyrhills Permit Application Fax-sls-rea aazl <br /> Building Department <br /> Date Received Phone Contact for Pennittin <br /> Owners Name y� Owner Phone Number u q-TA <br /> Owner's Address ( P L E f-/�C.r'1 rE DR. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address (� r <br /> JOB ADDRESS FFq I Z PN q Q Nht LOT# E <br /> SUBOPASION r I PARCEL ID# <br /> (OBTAIN®FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONStR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL Q p� c <br /> DESCRIPTION OF WORK 6P -M ( (Fi S LIQ I7ANel/ S L(uTW <br /> BUILDING SIZE I I SO FOOTAGE HEIGHT <br /> EZIBUILDING $ 0 p VALUATION OF TOTAL CONSTRUCTION <br /> . Li <br /> ELECTRICAL $' Gad AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T 1( <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 7 f 7 COMPANYVT�31T_Igr <br /> SIGNATURE REGISTERED / N FEE CURREP Y/N <br /> Adder License# 7 <br /> ELECTRICIAN "If COMPANY VIVZ ") <br /> SIGNATURE /r REGISTERED I YIN I FE CURREn I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREA LLLN <br /> Adder License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURREn LYLN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREn Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit far 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 subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsits,Construction Plans,Stonnwater 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(far 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 />