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I UU_VUZ_U City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiverl <br /> Phone Contact for Permitting <br /> Ph <br /> Owner's Name C_ Owner one Number <br /> Owner's Address Ucli, ?�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 7 <br /> JOB ADDRESS ,, C)o,_ye,( Lay; <br /> apligir I , - ?3 5 6 LOT# <br /> SUBDIVISION V-kjZA,�Y JARCEL ID# -Z5-2-1-614 b - I,56;�oo-669 o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SION DEMOLISH. <br /> INSTALL . .REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK g <br /> BUILDING SIZE lqrb' SQ FOOTAGE HEIGHT <br /> "BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.- <br /> [PLUMBING :Z a <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F/I ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS bo FLOOD ZONE AREA DYES NO <br /> I. . . . . . . . . . ... ..... . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY' • At�:bn [nc . <br /> SIGNATURE REGISTERED Y/ N ' FEE CURREN LILN_j <br /> Address License# p.�n(,* 2 _ <br /> LEGTRICIAN Ejrc-M <br /> COMPANY <br /> SIGNATURE REGISTERED W 'I - FEE CURREN Y/N <br /> Address 06 5? License# <br /> DLUMBER COMPANY SLl 1 <br /> 3IGNATURE o REGISTERED Y/ N I 'FEE bURREN 7/N I <br /> Address Holdeb G S-{ f /0M k�" d License# I CF-cl y z::I- )3;i- <br /> VIECHANICAL COMPANY Oro '\P <br /> S , <br /> %M_Z� <br /> SIGNATURE ^ REGISTERED VVN FftECURREh\1 I Y/N I <br /> Address Jqb D>S4y- 4- K)w �a&6w %M License# .1 CA CO 33 <br /> )THER COMPANY 1"A <br /> REGISTERED Y/ N FEE CURREN <br /> C16000 <br /> ;IGNATURE N <br /> Address _3J8 F. Q�u "Au ?q(_, License# [E(__ <br /> 1ESIDIENTIAL • 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/Slit 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dump6ter.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 /> . . . . . . . . . . . . . . . . . . . . . . . . . V . V & . . . . . . . . . . . . . . . . . . <br /> ilrectio-ris-:- - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <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 /> leroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />