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813ae0-0020 City of Zephyrhills Permit Application Fax-813ae0-0021 �N V 13 I <br /> Building Department / J <br /> Date Received Phone Contact for Permitting <br /> a aaaaa■ fr)) aaaaa <br /> Owners Name S Lc- Owner Phone Number <br /> wn Oer's Address i'`o (v AfJ�'mio,wner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS :2 Or- ktr hi LOT <br /> SUBDMSION I,t. PARCELID# L'Z(c` ("cn —�cc) <br /> > `c(o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSM 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL _ <br /> DESCRIPTION OF WORK _ Cft, yOCr— : `� J tit(L �Q' :[2 ("[�� <br /> BUILDING SIZE SQ FOOTAGE ,HEIGHT <br /> K'IE <br /> BUILDING $ ©� VALUATION OF TOTAL CONSTRUCTION <br /> " <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.EC. <br /> =PLUMBING $ <br /> =MECHANICAL IS 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 FEE CURREN I Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN T Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY Iry tL_�_Q <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address NolluLicense# I a J 2 <br /> aaa�a�a�eaa�®tet�>laaaaoaraaaaaa ata®aaaaataaate�a�aaaemaaaaaaa�ata�k <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stor mwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 Constriction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Sto....waterPlans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement is required.(A/C upgrades over$7600) <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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />