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I I w-w—v City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> D 1�ck�SI,2 emuc� At 0 C)iekOrtOD, com <br /> ate Received Phone Contact for Permitting <br /> Owner's Name J QL Owner Phone Number <br /> Um er <br /> Owner's Addressl 2 T a- 3�L Owner Phone Number <br /> -Fee Simple Titleholder Name -sn w_, Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F mo ishar- -btm 249P6-fk/L��, FOS", LOT# /),3 <br /> PARCEL ID# 3Z- 2-1;7 7-1 W4o 01360 06,30 <br /> SUBDIVISION F3 I i�, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL REPAIR <br /> PROPOSED USE = , SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION rz", BLOCK Q FRAME STEEL F7 <br /> DESCRIPTION OF WORK =W ,) '�ilmlo (�Wdq rt?45N A F n(_L QJ10 <br /> BUILDING SIZE SQ FOOTAGE Za HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING Q SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS F E7 ' FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - <br /> BUILDER COMPANY IV\C <br /> SIGNATURE REGISTERED FEtCURREN Y/N <br /> Address 02_ K —7a MID& License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE FEE CORREN <br /> Address &JO "5.4rd ­,27-4-11 License# -2, Q 033-13- <br /> I "IlA hkftln f/ Mbr4 6 PLUMBER . COMPANY 1/ ;,1 <br /> SIGNATURE REGISTERED Y/ N 'FEE CURR�dt, Yl N I <br /> Address n vr- TZ C f-C 691 ;�z i 4mpa --S3617- License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN _t��/N <br /> 0_/3. <br /> Address S 0 i 0 t�JP W 114A 34�S__]I License# 1 cpr cc 33 <br /> OTHER COMPANY ra J C. <br /> SIGNATURE REGISTERED Y/ N I FEE CURkEI\ 'L_y LN_JJ <br /> Address Nlaf,666W3 License# 1 ar :IS 2,5-_2 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 w/Silt 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 w/Silt 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 /> 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 />