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\$13-780-0020 City of Zephyrhills Permit Alpplication Fax-813-780-0021 <br /> 7—i4 q Building Department <br /> Received 'yT Phone Contact for Permitting � ' < <br /> Owner's Name ` �eS �hr �v�� u�L, • � �� er Phone Number <br /> Owner's Address 3 !�� Owner Phone Number <br /> Fee Simple Titleholder Name oie Owner Phone Number <br /> Fee Simple Titleholder Address ' � <br /> JOB ADDRESS ' / 53 LOT# <br /> SUBDMSION C;ge PARCEL ID#F_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR F__1 COMM OTHER <br /> TYPE OF CONSTRUCTION d BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK 'W L�.GS�Jh /d/�StAw <br /> BUILDING S� F!/ x '�"� SO FOOTAGE -45 HEIGHT <br /> BUILDING $ q�o�v VALUATION OF TOTAL CONSTRUCTION <br /> 1, :� I <br /> ELECTRICAL $ i/�pp AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 44-PIPLUMBING $ �s od v <br /> 2—eA J00I <br /> `l MECHANICAL $ �' VALUATION OF MECHANICAL IN N/J I )/ 0 ,2(C4 <br /> =GAS � ROOFING 0 SPECIALTY OTHER 615)�JJi���" 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES C. <br /> 1 � <br /> I I I I 1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED / N FEE CURREP Y/N <br /> Address gal � License# <br /> ELECTRICIAN COMPANY Oyu eQtll � � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address Lipensy <br /> PLUMBER COMPANY /r i/ ` //i� <br /> SIGNATURE REGISTERED / N FEt CURREN YIN <br /> Address License# <br /> MECHANICAL COMPANY ,r/�t��%y! Q (� �c� VI/16 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address I License# <br /> 111111111111 eeeeeeeeeeeeeeeeeeee1If11111IN11111111111111eeeeeeeeeee1 <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 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 all new projects. 11 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 />