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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2 St _ y d s c <br /> C Phone Contact for Permitting <br /> Owner's Name t) /f(f56A) �wyOwnerPho�n�e(�Mumbe� r <br /> Owner's Address 494& /t.• y�e Towner Phone Number <br /> Fee Simple Titleholder Name S /�tC Ir Owner Phone Number <br /> Fee Simple Titleholder Address /{1£ <br /> JOB ADDRESS pp�� l /'�/i�f �/ Z LOT# <br /> SUBDIVISION /r^' l(�lC lUIG PARCELID# / '?4 -ZZ-60/0^&ToD 0Z U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL rJ REPAIR <br /> PROPOSED USE _� FRAM = OTHER <br /> TYPE OF CONSTRUCTION Q11 BLOCK rJ ,r� FRAME C = STEEL <br /> 1 ��_�7 a4 Q� I l <br /> DESCRIPTION OF WORK I�I AMO r v/�J.J /IN e- W sf A/ �� r- <br /> 13UILDINGSIZE 150 /\ / D =FOOTAGE j � HEIGHT IJ <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS 00 FLOOD ZONE AREA =YES Ue' <br /> BUILDER COMPANY (, rdN <br /> SIGNATURE r/ Y/ N FEE CURRREN Y/N <br /> Address �Z Y aZ ux tell 6 • S&I IMINIt I'a ./ Licensee# 6trI Jr <br /> ELECTRICIAN n COMPANY �AMM <br /> SIGNATURE W' REGISTERED Y f N I FEE CURREN! .+Y y��/N <br /> Address _. A me G� �J9f& License# F GC 00 <br /> PLUMBER • COMPANY C�PQ vmw lwj Sclo4loA6 d t <br /> SIGNATURE lz� e REGISSTTERED a Y/ N FEE CU EN Y/Nt <br /> Address 610 1A)/ /70 LTicense# LAC,l 97 <br /> MECHANICAL COMPANY MAY d�e�4+sew /��r sytlC^►� s <br /> SIGNATURE REGISTERED Y7 N FEE CURREn I Y/N <br /> Address �Jr 9 K�-tz uy� 4/ I dt- ;Y601- License# I CAC/8 14 3-$ 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans wl 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 />