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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting J( <br /> a 9 V ff V a 0 a a a a a a a IR a a A a a a <br /> %0MCAS Owner Phone Number Owner's Name 1 - 1i6kA-01-5ZQ <br /> Owner's Address 1:29oL4-A ('o-tll AvC j�Vfwl Owner Phone Number "1 —3 0 e—1—yof <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS IloiiciC) (6MAve. Z&Pbyf-1wAA_S,, Ek I LOT# <br /> SUBDIVISION PARCEL'ID#1 <br /> (OUTAMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK acito Q eA icci �IWVLI <br /> BUILDING SIZE F SO FOOTAGE HEIGHT <br /> W W k W k k W k Ir <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ :p''p AMP SERVICE 5;;jI PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address License# I I <br /> ELECTRICIAN COMPANY E(tr_1r3P_'(C� AJf r_e5 <br /> SIGNATURE REGISTERED Y/N- FEE CURREN I Y/N <br /> Address Qs4e_fz Kd, f0iew ICY License# ,A6 6 1FC-( F6;V4'9 I <br /> PLUMBER COMPANY 1 <br /> SIGNATURE REGISTERED Y/N FEE CURREN L_Y(N <br /> Address I cerise# F_ <br /> MECHANICAL COMPANY = <br /> SIGNATURE REGISTERED YIN FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED Y/N FEE CURREN YIN <br /> Address License# <br /> It a <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 subdivisionsharge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa 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 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 /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required.(AfC 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/Foolage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />