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city of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Received sto e-catul ctirkk_Ma4,0r�00, C00A <br /> Date Rece Phone Contact for Permitting.. <br /> Owner's Name �6ckm �nr owner Phone Number ct <br /> Owner's Address .11- ly- 3�- owner Phone Number Pee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> UlrVJ Q(A f-0 Zo nVUKb�Ll S, 33 C,14 LOT# <br /> SUBDIVISION F PARCEL ID# 0 nrr-, 0_0_CtCL_ <br /> (OBTAINED FROM PROPERTY TAXNOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL E REPAIR <br /> PROPOSED USE SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK � Wpv) �1mle rmilm resi'Aim-C L <br /> BUILDING SIZE <br /> SQ FOOTAGE HEIGHT <br /> =BUILDING ,I. VALUATION OF TOTAL CONSTRUCTION los <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY CJ W.R.E.C. <br /> =PLUMBING $ <br /> -4- <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS EY 'ROOFING = SPECIALTY F-7 OTHER <br /> FINISHED FLOOR ELEVATIONS -H FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN YIN <br /> Address (002- Mf-If (D <br /> License# lcsco scm <br /> E le rhn_- C <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED Y N FEE-CORREN I Y-7 N <br /> Address Qkwu lsa�ad License# [EE 0 <br /> Pl ,va (Z PLUMBER COMPANY ' ahk <br /> SIGNATURE umb; <br /> REGISTERED Y/ N 'FEE CURRtl, I Y I N I <br /> Address C F-C 691 �Z I QWpa 33617— License# <br /> MECHANICAL COMPANY piroqvv 111. . &)-t ( <br /> SIGNATURE REGISTERED "(/*N FEE CURREt, -ty/N_J <br /> Address 5-q 0 7 �w c-� We W I r, S-) License# I C11- C 6 33 1 4 _5 <br /> OTHER c- <br /> COMPANY ra J mTyr.I a <br /> REGISTERED Y/ N FEE CURREII N <br /> 20 6 ki-A <br /> SIGNATURE <br /> Address 13143 4V N#11P,6f_i&U '3� License# [a ]�2 3,2 3: <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,Stormwater Plans wif Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-'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 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. (A/C 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />