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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received Phone Contact for Permitting 1(913 )Vqq --9L49q <br /> JE3EX <br /> A ALRAX X 4 X W.A7W I ��-W. <br /> Owner's Name Owner Phone Number <br /> Owner's Address i Owner Phone Number <br /> Fee Simple Titleholder Name F- Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS —1z LOT# <br /> SUBDIVISION PARCEL ID# CS—2-(p—*2-1 MIZZM- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH <br /> INSTALL F-1 REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 1AC, ctm4 a.�— "F-ham S +,,Y-1 Oq S-ee,- <br /> ) �4eo� <br /> Q <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .W- AFJLJUL -gLAL I&L 7�"L�1"L CAA <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING r-- <br /> EZ(MECHANICAL 1$ D VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY I I <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN L11 N_J <br /> Address License# <br /> PLUMBER <br /> COMPANY = <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN. I Y/N <br /> Address Lf(Do'l LOA I&Caw -BINA Lbyd 0 <br /> License# 1CAC-inn(A <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN LILN_j <br /> Address License# <br /> 9.1 I's,44 X-441 1,11".3 94:111.1 14A I a III I tI I W 911 9 SIX I's t-flt S-1-1 214,X Tk If rl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0--W Pen-nit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Ston-nwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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&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 /> S S.S 0%%44%644,1i's S.&S.W's 6644k%%064 Oft.4 S is S S S 6 S S S.00*444— %444 wil*41.0%it <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> It 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(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />