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City of Zephyrhills Permit Application Fax-813-780-00 <br /> Building'Department <br /> Date Received [(J��6eruud 6(\k_0& CA0%0r+M- CUM <br /> Phone Contact for Permitting <br /> owner's Name nc= Owner Phone Number 1U3 - � t <br /> Owner's Address 2 Za- Owner Phone Number <br /> Fee Simple Titleholder Name -sn mie- Owner Phone Number <br /> Fee Simple Titleholder Address 7 la <br /> JOB ADDRESS #LOT lA <br /> SUBDIVISION PARCEL ID# ZI 010 6 6 &0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> E5 'INSTALL 8 REPAIR <br /> PROPOSED USE = , SFR Q COMM OTHER F_ <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK 1SiJIM-L 9- Led 2L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL t AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> [PLUMBING 1$ <br /> =MECHANICAL 1$ 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 'ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS = FLOOD ZONE AREA =YES NO <br /> NQ- <br /> BUILDER COMPANY <br /> SIGNATURE 'REGISTERED FEE CURREN <br /> Address (40 W- —76NDA <br /> License# FcR6'scm:z <br /> ELECTRICIAN COMPANY . S+r-a Aq Eledidt C <br /> SIGNATURE REGISTERED Y I N FEE CORREN <br /> Address ZQA-rA License# 1 E Q()34-IS <br /> PLUMBER COMPANY &fiuk- Lab& flitta;nA 6 <br /> SIGNATURE REGISTERED Y N I 'FEE CURRdh L±LN_J <br /> Address .6, 73pv IWAS 200a --S36S7- License# EYI: <br /> MECHANICAL COMPANY <br /> —t- <br /> SIGNATURE L2 'REGISTERED FEE CURREN <br /> Address 5-q02 pmnlN� License#.I c �/N A cc-6 3 t4 5 <br /> 7, -,A Kaja OTHER COMPANY t c <br /> SIGNATURE REGISTERED I Y/ N I FEECURREN 'L_YLN <br /> Address License# I UL]S 2 S-0 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit 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 wl Slit 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. (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 />