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5M6 If <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-81 80-00 1�A/V 7s3 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> :alaat.asa s.a.aaa <br /> Owner's Name A \ }'���► ZIP I Ve Owner Phone Number G 3 <br /> 7 3 3(o L e►n'I r Ph <br /> Owner's Address C— 2�c to � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ` T <br /> JOB ADDRESS '�1 I`� oT# T c )r 70 <br /> SUBDIVISION a. t/ I 1 PARCEL ID# S'2J " p l ^o0SA -d00 C © m C, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN = = DEMOLI <br /> 9 INSTALL B REPAIR ex <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL Q e <br /> DESCRIPTION OF WORK V q C�.. ram 1 C L— ` J L h V <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = .R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ t Q 3 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> 0-011110 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL y�a�A COMPANY <br /> SIGNATURE ✓"iJ REGISTERED Y N FEE CURREN Y/N r�,� <br /> Address 3(,SA W ``'. Q' S S S License it G C p� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> 9.9.Va.6a,94.1E,4 1111'a lE.*.tl.I_l aa's4.i 1.1111.4 111 a*11.01:ia1.l-I's 11 1:t's 9,9 a 1 9It a llffx,ffl <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constriction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonmwater Plans w/Silt Fence i 3talled, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsnarge 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 constn o Ion. <br /> Minimum ten(10)working days after submittal dale.Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence i 3talled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet complian <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY required for all NEW construction. <br /> DlrecUons: , <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 Attomey(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(PIDUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />