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818-780-0020 City of Zephyrhills Permit Application Fax-819-780-0021 <br /> Building.Department ff <br /> Date Recelved `` �nL �' phone Contact for Permitting 63 Q l(.o3 - (,p qz <br /> Owner's Name SS 'C L� Owner Phone Number <br /> Owner•sAddress `Q\rn4'5V' TIna Olt Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 a v LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON STR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q -\ BLOCK 0 FRAME = STEEL Q 1 <br /> DESCRIPTION OF WORK ��� J�IQJLL� C� 3.S—�Of►�LLkll�s� PC\C uf1C� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $1�-, �l3 V,L�T(gN OF TOTAL CONSTRUCTI N 1 <br /> i !/ <br /> ELECTRICAL $ .Zt a.� ,P P ERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 6 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY gkec_A,(k <br /> SIGNATURE `> S` REGISTERED I Y/ N FEE CURREt Y/N <br /> Address �� KO(1�0 g�S-` Q ,F�33b License# ECP�2(O <br /> PLUMBER COMPANY �. <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N t 111III <br /> Address License# <br /> MECHANICAL `/,L/ A, COMPANYtip <br /> SIGNATURE i (� ` REGISTERED I Y/ N FEE CURREA 1Y/N p I <br /> Address �� 37 t\r.�C��d\� �0.►� ti, L33�°2S' License# �`�'� 1- \C�nCe`A`IJ - <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> A111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new Construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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. (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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />