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City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> eceived �*fxkuchaindvc)lk-kortm' coo <br /> Phone Contact for Permitting 0 E�s I I I a <br /> I _117=117711= U_11-1 1 a A I A I a A It I a <br /> rier s Name AM nc� Owner Phone Number <br /> /Zner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> LOT# <br /> JOB ADDRESS 7W b Mica- di.. Pla-sicl <br /> SUBDIVISION PARCEL ID# 3 L 2K 7 1 60 ir) 13M 0 011)L- <br /> (OBTANED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT Sl-GN DEMOLISH <br /> INSTALL -REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> \J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> ='PLUMBING <br /> 77 <br /> =MECHANICAL C> VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY F-7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - .- .- .- - - - - - - <br /> 4,46-41-1■ COMPANY OMPANY SIGNATURE. REGISTERED Y1 N FEt CURREn I Y/N <br /> Address 117-607— Te t(Dt)a 2)1- License T4 t4 pj� CS Cb 3dt)�P7 <br /> ELECTRICIAN A COMPANY Eleri—n- c(A <br /> SIGNATURE REGISTERED YJ N FE-ECORREN Y-7 N <br /> Address j6hins RUM Z".-rd -;t License# [LE 'o(33-1 V� <br /> PLUMBER, COMPANY a&qr- A � 5C hk pluob;nc' <br /> SIGNATURE REGISTERED Y I N FEE CURBItN Y I N <br /> Address Tcnoa ''S36g Z License#IC F C 6 91 1 <br /> MECHANICAL COMPANY PJr0q"551Qe_ AIVK <br /> SIGNATURE REGISTERED FEE CURREN -tLy/N_J <br /> Address [ 5- ker 0 5-7) ucense# F(fWcon " i I <br /> OTHER COMPANY <br /> REGISTERED Y1 N I FEE 'L_y N <br /> SIGNATURE L__JJ <br /> Address Nalpcabc6u (0 S-37 License# 1 2_ 3 3-3 <br /> 111111111 111111 I'lli: Cill 1111111 ,11V111111111 111111111 1111. 11 if I 1 11 liiii <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/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 dumoster.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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sews . . <br /> - - - - - - - - - - - - - - - - - - - - - - - <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 />