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/ e,3 Tao aazo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received `` . �r r�^PhoneContactforPernittin 03 <br /> "noes Name y (V o I�7 n C f r Owner Phone Number <br /> Owners Address 16,320 3 K p 3 T Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address /n <br /> JOB ADDRESS 115320 3 R D S I Z 6 P t't/-{Ii 1-1-TI{.S LoT,, �1 <br /> SUBDIVISION PARCEL IOk //-2& `2�-00�o - t�9(a0 0-01 J01 <br /> (OBTAIN®FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK T/1( 6- O UAI L60-tIOR <br /> Q p-��7N/�iL <br /> BUILDING SIZE SO FOOTAGE HEIGHT II J+``f C r E . <br /> BUILDING $ n.2 P (�Q VALUATION OF TOTAL CONSTRUCTION <br /> dELECTRICAL $19 7!Z-Da AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 1 <br /> BUILDER / COMPANY T v <br /> SIGNATU 1 REGISTERED 'Y/ N I FEE CURREn I Y/N <br /> Address 151do Vu.H NNA fl V E TnP,6 A I License# r <br /> ELECTRICIAN K O COMPANY <br /> SIGNATUREcREGISTERED Y/ N FEE CURREn Y/N <br /> Address N r rl,-1 RA license# G 7 V <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE cuRREn LjLN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREn Y/N <br /> Address License# <br /> IIIIt11111111111111111111111111111111111111111111t11111111111111111 <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,Stornwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />