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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> L drik-OrAtn. <br /> Date Received Phone Contact for Permitting <br /> IOwner's Name Owner Phone Number LL9&0 nc- <br /> Owner's Address Fi'��—ke' Acobm 1 3S 3�_Owner Phone'Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address F <br /> JOB ADDRESS C) LOT# <br /> SUBDIVISION "On tk ARAV��ARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F_� ADD/ALT SIGN DEMOLISH <br /> INSTALL F I REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK ,�i cieoca_ s- aeci <br /> \J BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =6 UILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br /> o I <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - <br /> - - - - - - - - - - - - - - - - - - - - <br /> BUILDER COMPANY • <br /> SIGNATURE REGISTERED Y/ N FEE CURRIER LLLN J <br /> Address ..— c <br /> �von, License I z 9 <br /> ELECTRICIAN COMPANY• :]�krn C-71-CC44 <br /> SIGNATURE REGISTERED FEE CURREN L �N <br /> Address o 6 3111� I License Ki <br /> :'LUMBER ■ COMPANY Q I Q tn il 1 f1\5 <br /> 3IGNATURE REGISTERED Y i N FEEICURPEI\ I —YIN <br /> Address' H4_b)!64f)A ptw�, S4-4 /0M lia4m 2 6( License,# I <br /> MECHANICAL COMPANY sl�i\p <br /> VL-- , <br /> 3 REGISTERED Y VN I FEE CURREI\\J Y/N <br /> )IGNATURE 61) <br /> Address D>Sl\�.4- Plr,6q License# I CA C6 33 <br /> C-bCMal Z� !2 ETHER COMPANY J &Sfi <br /> )IGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ?—+fq-� j�et� 06+&.6 q(6731 License# I CC <br /> ZESIDENTIAL 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> ,OMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy!`ViITS.R-6-W Permit for new construction'Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fdnce installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> ;IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> iir-ectio-ns--- - - - --- - - - - - - - - - - - - - - - - - - - - <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 /> k Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (copy of contract required) <br /> eroofs if shingles I Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />