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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Q <br /> Date Received Phone Contact for Permitting V3 4,0_I — To I S <br /> ;Itaasaaa slaaam <br /> Owner's Name f` ��II T L Z Owner Phone Number <br /> Owner's Address S740—1 I eQDCCf Z 335 Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address [� T ` 1 L� <br /> JOB ADDRESS ,L0 9 1 lY LO ZL 9 f'fit 1� r 3�S�� LOT# <br /> SUBDIVISION LkAWO; ftknOr' PARCEL ID#16--16 -071 � 6 I,O —00060� 60000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK C IX4' hart u l, Of T (4 S eer (2hea+-+ SQ l I d <br /> BUILDING SIZE SO FOOTAGE 4 y HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING EZ-MECHANICAL $ Q ' VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Oswego off 111 0 of <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License It <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY SvIQ�� Hcan q ��- <br /> SIGNATURE / REGISTERED Y/N FEE CURREN <br /> Address GSC� 1,J.0 ! 7 F�,3c? 07 License# IQI60104 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> -as <br /> aAllwasgas f.lf11soII.tililE.1111l1i911111121ji!<i1�IallsI IstatesBiEEi1all91 <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 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&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 /> 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 /> Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />