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Uity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> I I I I I A I A All <br /> C_ hone Num er r <br /> , A a I A a a a I I A 1 9 <br /> Owner's Name Ow er P b <br /> Owner's Address Ow er Phone Number <br /> Fee Simple Titleholder Name Ow er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS i 4-S4 �p 9 y-toLtA )01N,14c" <br /> SUBDIVISION ron ARCEL ID#13-q--7-S- o <br /> 1 OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT IGN DEMOLISH <br /> ff INSTALL F-] REPAIR <br /> PROPOSED USE 0 'SFR Q COMM THEIR <br /> TYPE OF CONSTRUCTION BLOCK = FRAME TEEL <br /> 'S U_ VZO J�_nrjgll 3 -3-o c <br /> DESCRIPTION OF WORK I <br /> BUILDING SIZE F _ S' Q FOOTAGE EIGHT <br /> . . . . . . . . . . . <br /> =BUILDING VALUATION OF TOTAL CON TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL ' VALUATION OF MECHANICA INSTALLATION <br /> Z_o <br /> [ GAS 7� ROOFING SPECIALTY THER <br /> FINISHED FLOOR ELEVATIONS .q FLOOD ZONE AREA =YES NO <br /> %3 0 <br /> . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - -BUILDER - - - - - - - - - - - - - - - - - - - - - - <br /> _3 COMPANY rJC <br /> SIGNATURE REGISTERED 11Y/ N 11 FEE CURREN I YIN <br /> Address alerpm-br License# I C_?,CO3 9 C),-2 <br /> ELECTRICIAN COMPANY 14mrin P.fec-Me <br /> SIGNATURE REGISTERED N- rEti CURREN Y/N <br /> Address Rio iq-,4aa VbA4 5&443 License# C, o 6 <br /> PLUMBER F COMPANY I P I um <br /> SIGNATURE REGISTERED JJY/ N FEEICURREN -YIN I <br /> Address lefon pw�, sb' (_ /0M k a ► License# <br /> MECHANICAL COMPANY R% <br /> SIGNATURE REGISTERED FEE CURREN Y I N <br /> Address (2,,,,6w -zum License# LCA Co 33 W�f <br /> OTHER COMPANY HC--b&-VQW ?64-112$ <br /> SIGNATURE REGISTERED Y�/ N FEE CURREN Y/N <br /> Address YS 3f-I—V Qeu 00+94-6- IN G License# 1 cc <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;�-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conistruction Plans Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/largeprojects ", k <br /> , gy For---" <br /> su , <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(I;�.t f En ms R Permit for new construction. <br /> t <br /> Minimum ten(10)working days after submittal date. Required onsite,Con traction Plans,Stormwater Plans w/_Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All I ommercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . <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 no,arized 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/Foots e) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />