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t <br /> f Fax-813-780-0021 <br /> e13-Tao-0o2o City of Zephyrhills Permit Application <br /> Building Department �/ r (�(, <br /> Date Received ��Zo Phone Contact for Permitting l e -7 J-` l(JVi `t <br /> caaaaaaa /e ^^\\n ![aaa <br /> Owners Name V I l Owner Phone Number <br /> ' e Owner Phone Number 1�VJ IJI <br /> Owners AddressFLJ t <br /> Fee Simple Titeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ,/ <br /> JOB ADDRESS - y e / ar <br /> !, �LOOT�# N� <br /> SUBDIVISION r 10 n V+11 G PARCEL ID# ' O' V'WQv0_09' D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW <br /> COL REPAIR <br /> a SIGN = = DEMOLISH <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION —`J BLOCK <br /> (y�Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK c - ft 1 � i R w5 S 1 Z� ► I mPCi�'� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> c�c ccc�rccrrt-cctrr rc-c crrc�r crce�cccrrt-m <br /> BUILDING ) ,0" VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 111 <br /> BUILDER COMPANY Id-C(A l <br /> SIGNATURE REGISTERED Y/N FEE CURB Y/N <br /> Address License# I aC16115ZIZZZ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address = License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> [t!■l[tllll![[l[t[l[t[[ !tf[[[l[tt[t[-[l[llltlt[ll[ Illl[ltl[[[[[ 1[tt[1 <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,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge 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,Storrnwater Plans 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$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 />