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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> H3PhIone Contact for Permitting 1( zL J xx� <br /> aaaIit S <br /> 1aas 15W <br /> Owners Name mrco ICCL Owner Phone Number ) ,71b-9a <br /> Owner's Address 0 tj�a P-YN ho 16W f 1 Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address F_ - <br /> JOB ADDRESS QL Hal�Cy' 90110" -_Ve%A0' LOT# <br /> SUBDIVISION 11411JL PARCELID# 0 00 -owo()-&A <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F-� ADDIALT SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE SFR F-1 COMM OTHER F_ <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK 7, CnLA VW RNI 501mr:5,j5-em on rrr�� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> -L%%-L-L%L-L-L-L-LILIL-LILIL TLILIL L-L-LL%%'L%%-LLL-L CILIL -L IL K-L&%It CV, <br /> ©BUILDING 151,3,0() VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $s AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Cl <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> V <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> -------------- -- <br /> ----- ----- - ----- <br /> I BUILDER COMPANY �o"at 121-p-CMIX0 <br /> I SIGNATURE REG] Y/ FEE CURREN Ti-Y)N <br /> Address License# -�Ixt <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN LY_!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN L_.YL/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address License# <br /> ##12 a a I I a I.I a a a a I I a 1 1.2 11 1111.11114 a I a I a I a I I a a a I a I I a I a I a I I I I a I a I a 1.1 a a I a a I a I <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,Starmwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 clumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pennit 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />