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City,of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> l <br /> Date Received r�'Or+tn-Coo <br /> Phone Contact for P <br /> Owners Name <br /> Owner Phone Number <br /> nc_. <br /> 33 <br /> Owner's Address luzo�' a 0—Owner Phone Number <br /> Fee Simple Titleholder Nam. '�Aw'v Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -dilb LOT# <br /> SUBDIVISION a"-�AARCELID# oC7 IbQ� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> ff INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION E:2- BLOCK FRAME STEEL 0DESCRIPTION OF WORK 2-Sa <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ­:4-f LO <br /> =MECHANICAL 1$ s-r.� o, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F71 ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA =YES NO <br /> 12vivy ugly <br /> - - - - - - - - - - - - - - <br /> BUILDER COMPANY • <br /> SIGNATURE REGISTERED Y/ N ' FEE CURREN <br /> Address alecm-Dr- .-:hVfi-A' License# <br /> E -�4r trc-M <br /> LECTR 'e <br /> ICIAN COMPANY n <br /> 3IGNATURE REGISTERED FEE CURRFN -LY/N J <br /> Address 36A"- 3 License# Kc, o 6 <br /> 'LUMBER COMPANY um <br /> SIGNATURE REGISTERED Y N FEEICURREN Ll N L__J <br /> Address 164). S+0_ /0M 11#" 2 bf License# F—CF-C)i z: "- )3 <br /> UIECHANICAL F COMPANY ►r <br /> 3IGNATURE 6i I FftE.CURREN V Y/N--1 REGISTERED I Y/*N <br /> Address D>:31,2_, 4- NkLA (2it6w License# 7A_co 33 w <br /> )THER COMPANY ly-(Ick Ne-bemaW <br /> 3IGNATURE REGISTERED Y/ N FEE CURREN L /N <br /> Address t')wIi omf-et '?q G�i License# <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&1 dumpster;Site Work Permit for subdivisions/large projects <br /> F6�M­S.R-6-W Permit for new construction. <br /> ,,OMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy- <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> )Irections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$M0,a Notice of Commencemenit is required. (A/C 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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />