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/OqJ—y7y 7 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> -'\• Building Department <br /> I; g <br /> 'Date RecelveD Phone Contact for Permitting ( 7 4✓ — 7 <br /> Owner's Name Q' / r^t Owner Phone Number d 1 <br /> Owner's Address �7L/ `'C 2 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number _ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 rh /' LOT# <br /> SUBDIVISION PARCEL ID# �� '2 4 'z� Q/ZV ��JU /I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSfR ADDIALT = SIGN = DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSED USE SFR Comm <br /> TYPE OF CONSTRUCTION QY BLO <br /> CK. Q FRAME = STEEL = <br /> DESCRIPTION OF WORK I J. La (' 3 0or <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> #UILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S (� AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING S Ir <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER PANY <br /> SIGNATURE. REGISTERED / Y/ N y FEE CURREN// Y/N <br /> Address <br /> l h-r of f(.//x ✓ I U v L334 (License# C% C")& L <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/ N FEE CURREN Y/N <br /> Address - License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> III1111111111111111.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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,Slormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpsler,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)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 dale. Required onsile,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsler.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, (AIC 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 (Front of Application Only) <br /> .__ .. <br /> Reroofs-if stiingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) -" --- - -- -- --- - <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />