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813-780-0020 City of Zephyrhills Permit application Fax-813-780-0021 <br /> Building Deparimant} <br /> Phone Contact for Perndttln <br /> Date Received <br /> -rmrr 'j <br /> Owner's Name / Y (� P O ner Phone Number /3- <br /> Owner's Address /�2� AhlIna O-0 A O ar Phone Number <br /> TF.e Sl��,�L 1 ✓V / <br /> Fee Sim a Titlehol er N m "�- <br /> Ow{rer Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `1 (J (� f 7'V y� LOT# t 1 <br /> SUBDIVISION PARCEL ID# / '(/lJ/D^119 260 <br /> (OSTAINED FROM PROPERTY TAX NOTICE) <br /> WORK P POSEp n_ NEW CONSTR 8 ADD/ALT i IGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = Comm = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK }? J L ` <br /> BUILDING SIZE SO FOOTAGE HEIGHT L"� <br /> Ttrr-rr r. . . . rrr' . . . . . . . .T-. . . e . . . r . . . . . . . . . rrrrf-r� <br /> �6UILDING $ 3 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE IQ PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> =PLUMBING 1$ ^� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GASROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS ��] FLOOD ZONE AREA =YES NO <br /> J <br /> l <br /> BUILDER COMPANY FI <br /> SIGNATURE L� REGISTERED YJ N FEE CURREN YIN <br /> Address License If <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ( REGIS I YIN I FEE CURREN Y I N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y f N FEE CURREA Y I N <br /> Address I License# �— <br /> MECHANICAL COMPANY I �. <br /> SIGNATURE { QEGISTERED I Y1 N FEECURREn Y!N <br /> Address I License#F7 �. <br /> OTHER COMPANY <br /> SIGNATURE ��- `REGISTERED I Yf N FEECURREn LXLN <br /> Address J" I License# <br /> ! ! ( ! 1lll ! ! ( ! ! i !•1111.11 / litiiiit (tltitlit ! ! ! t�l11 ( ! il ! ( 11lt ( I !•! / ( !.lII ! <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R- W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constriction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpstar,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of norgy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons coon Plans,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Fatuities&1 dumpster.Site Work Permit for all new projects.All coiimercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *-PROPERTY SURVEY required for all NEW construction. <br /> - <br /> DLrectlonil • . .. . . . . . . . . . . . <br /> tsh <br /> . <br /> Fill out application completely. <br /> Owner&Cdntractor sign back of application,notarized ` <br /> If over$2500,a Notice of Commencement Is required. (A!C upgrades over$7500) I <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 AIC Fences(PlottSurveytFoatage) <br /> Driveways-Not over Counter It on pubtic roadways-needs ROW '. <br />