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813-780-0020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received 2--2 Phone Contact for Permitting <br /> Owner's Name ck ff7r-zk�li­lI Owner Phone Numb <br /> � <br /> Owner's Address —RsA Ao-,o Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1:�, 741`[­QS LOT# IISLO <br /> SUBDIVISION PARCELID#1 35 —RIS 0, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED W-COMTR A F7 D D/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> _r�PROPOSED USE S F:;R COMM OTHER <br /> TYPE OF CONSTRUCTION O BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> E�KBUILDING 4 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING is (I <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 4filifilifIliffilIfffff-- -------J's @off ilif fS44#goof am ff fff f0fafffffiFf ifff-if, <br /> BUILDER QOMPANY <br /> REGISTERED SIGNATUR Y/N FEE CURREN LY(N <br /> Address 1 Y t SC License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY = <br /> SIGNATURE I REGISTERED Y/N FEE CURREN LYLN J <br /> Address I License# F_ <br /> MECHANICAL COMPANY = i <br /> SIGNATURE REGISTERED YIN FEE CURREN LIIN J <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE I REGISTERED YIN FEE CURREN L_ILN_j <br /> Address License# <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge projects <br /> COMMERCIAL 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 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 /> Fill out application completely, <br /> Owner&Contractor sign back of application,notarized <br /> if over$2600,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 /> Rerool's if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.,needs ROW <br />