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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Owners Name nC_ Owner Phone Number 19(4 <br /> Owner's Addressi 33 Owner Phone Number' <br /> Fee Simple Titleholder Name' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS QiciitJ�� N?, LOT# <br /> 'SUBDIVISION IDCIAJR;��ARCELID# -6 30G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> E� INSTALL E REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION E:2— BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK CA <br /> F <br /> SQ FOOTAGE <br /> BUILDING SIZE HEIGHT <br /> 949 . 4 a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> -Ito <br /> =ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ a, <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> poo <br /> GAS 7� ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - --- - - - - - - - - - <br /> BUILDER COMPANY r\c <br /> SIGNATURE REGISTERED LY1 N I' FEE CURREN I Y/N <br /> Address License# C? C0,39 2 <br /> 'JeC4i4'if ELECTRICIAN COMPANY P <br /> 31GNATUREREGISTERED I`NF 'I,' FEE CURREN <br /> Address 36,4A3 License# <br /> :)LUMBER COMPANY U 1,Y) <br /> SIGNATURE REGISTERED Y1 N FEEbURREN /N <br /> Address 1C4 A% Sk 10M �0," License# F�F n- 131 <br /> VIECHANICAL' COMPANY , oct4vo, r <br /> SIGNATURE REGISTERED % YI*N FEE CURREN V Y/N <br /> Address 1_510!� Dx&,er (4- M�o f2j,:6w %M License# a(_()33 <br /> )THER COMPANY jr(IA HlaeoQlc� ?,Ns�0� <br /> SIGNATUREREGISTERED Y1 N I FEE CURREN L_X1 N <br /> Address _-] <br /> License# FCC I'S <br /> ptm+& <br /> 111011111 \011111 11 1 1 1 1 1 1 1 1 <br /> ZESIDENTIAL 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&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-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wt Silt Fence installed, <br /> Sanitary Facilities&I dumpst6r.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 /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Ilrections* <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 /> 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 /> ,eroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage} <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />