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�3-78.0-�021 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 1 ���y[��p`�I�nI'}(�`�{, Building Department <br /> Date Received 2( Za Phone Contact for Permitting 1 7 0 q1,3 .07 A <br /> Owner's Name C// // j �} Owner Phone Number p 3- qG- CUrq Yv <br /> Owner's Address 5(9Z 86 CC T fells 335� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> G/ <br /> JOB ADDRESS S(� GC—4 51 ablor3 364 2 LOT# <br /> SUBDIVISION PARCEL ID# 2' ZCG-Z I-006 8-Dovoo-pogo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM [ OTHER ! C <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL Q I DESCRIPTION OF WORK U roe, U n`I-ed o 14,., '(,�/ <br /> . 7S ffW <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ZELECTRICAL $ _ AMP SERVICE Q PROGRESS ENE E GY Q W.R.E.C. <br /> Ky <br /> =PLUMBING $ v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `' 00c) <br /> rD <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> � Pl <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - 9 9 77 7 797119 9 F:3 i <br /> BUILDER COMPANY <br /> SIGNATURE R ISTERED Y/ N FEE CURREN Y/N <br /> ? Address 9 License# <br /> L) �d`/CL ELECTRICIAN COMPANY S u n run <br /> ( SIGNATURE C p 1 1 REGISTERED Y/ N FEE CURREN Y/N <br /> Address SZd 0 �6tM U3CST VOt '( 3�G F,G 13oo79�Y <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <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 /> ' 999 • 9999999 fi9-0.-0 • <br /> Dtrecttons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 />