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uty of Zephyrhills,Pernnit ppllcatlon Fax-813-780-0021 <br /> Building Department <br /> Date Received :] Phone Contact for Permitting <br /> I A a I 1_1 I I I I A I a I <br /> Owner's Name <br /> Ow er Phone Number <br /> nc- <br /> Owner's AddressI17- 33 <br /> Amm <br /> Ow er Phone Number <br /> Fee Simple Titleholder Name Ow er Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IQ�ove_ Zo ZA LOT# <br /> SUBDIVISION Do v RCEI ID#1 o o - <br /> �AS A <br /> ) WftiOi CKD_S� <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT IGN DEMOLISH <br /> E!"' INSTALL8 REPAIR <br /> PROPOSED USE = SFR 0 COMM THEIR <br /> TYPE OF CONSTRUCTION BLOCIK, TEEL <br /> FRAME <br /> A t <br /> -L.'a <br /> DESCRIPTION OF WORK r��T . ­­ .- - 7- eA <br /> BUILDING SIZE SQ FOOTAGEIt 4 EIGHT <br /> . . . . . . .. . . . . . . <br /> =BUILDING <br /> VALUATION OF TOTAL CON o TRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING !$ <br /> 7' <br /> db <br /> R <br /> U <br /> =MECHANICAL VALUATION OF MECHANICA INSTALLATION <br /> =GAS ROOFING T SPECIALTY HER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY P�- 72- nC <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address 1�2(e)02 :k)eCf"1h_ License# IIca cx),�9 C&2 <br /> ELECTRICIAN COMPANY I m ri P fec4i4e <br /> SIGNATURE 7 Z REGISTERED I ( N FEE CURREN LZ N <br /> Address &1(1'5�_ ftAU 5&1"— License# lk,13 (2051 <br /> PLUMPLUMBERCOMPANY S 1) r\C% <br /> SIGNATURE REGISTERED FEEbURREN iN <br /> Address 1,51-0 b t iCGI S-4-0- 10M W a License# Fc—r-Cl4n- o�- <br /> MECHANICAL COMPANY '\P ►r 'S(j <br /> qvtlsm — <br /> SIGNATURE ~ REGISTERED FEE CURREN l Y/N <br /> Address 1510 License# 1 LA U,33 <br /> COMPANY HC_bQAQ1j ?641-0s <br /> OTHER <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address <br /> ?qG 73 License# I C( <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,Con ruction Plans Stormwater Plans wl Slit Fence installed, <br /> I R <br /> N <br /> I <br /> t <br /> I <br /> :�OM A Pe <br /> REGISTERED Con <br /> ruction <br /> pr I. is <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large p jects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set o Energy Fo-rms.R-O-W Permit for new construction.. <br /> Minimum ten(10)working days after submittal date. Required onsite,Cons ruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new,projects.All c mmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for-the owner)would be someone with not rzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footag <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />