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City of Zephyrhills Perin it Application Fax-813-780-0021 <br /> Building Department <br /> Date Received (diStO C_UUC�a i AdE OrttD' CJZ)M <br /> Phone Contact for Permitting <br /> Owner's Name Iloc. Owner Phone Number UW_ <br /> Owner's Address co mhr Jbampa Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F R4 LOT# <br /> SUBDIVISION F:s i i kjemao I PARCEL Ine <br /> (OBTAINED FROM PROP RTY TAX NOTICE) <br /> WORK PROPOSED FF/I NEW CONSTR ADD/ALT u SIGN 0 = DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION F7 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Fwpk,) S%mio Fd Vri %4 Of S I f r)L L 7-- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . Ann . . . . . . . . . . . A . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> -4, <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> 414.4..1 . . . . . . . <br /> BUILDER COMPANY Irk C, <br /> SIGNATURE REGISTERED Y/ N FEftCURRE< L11N..J <br /> Address 1?-(007— Mf T4 t4 License# I 3dc)r�:z <br /> ELECTRICIAN > COMPANY S±mdi Ele-ciri C _7 <br /> SIGNATURE . ] REGISTERED Y/ N - FEE CORREN Y-7 N <br /> Address IM00 a Johms _-"Ird `Z212-1 License# 3-4-IS-- <br /> PLUMBER COMPANY ll in <br /> SIGNATURE REGISTERED FEE CURk9r, I YIN 1 <br /> Address 'Rnv License# FC f-cp <br /> MECHANICAL COMPANY <br /> SIGNATURE - REGISTERED -(/'N FEE CURREN —ff y I N _J <br /> Address 5q 0 7 hon 0 D Ucense# I a+ CA-53 <br /> OTHER COMPANY r6LA 04aym <br /> SIGNATURE REGISTERED Y/ N FEECURREN 'L_y_LN__�J <br /> Address License# I C-CC :1 2-,5---,3 3-3 <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(1 0).working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - - - - -Directions: <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 sa,me, <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Servicb Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />