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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r�� phone Contact for Permitting ( <br /> :::Iials� l <br /> Owner's Name /^2.e•i- Owner Phone Number <br /> Owners Address 156716 An A, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J �Uo� / ?� 2P �+ /�� lI nn �L '� pp0 VL��OT# ,�q7 r P <br /> SUBDIVISION PARCEL to# 1 'v( -, - 00 1c(��,,�Y.-/ / <br /> -/ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE d SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q\\ FRAME = STEEL <br /> TIO ry <br /> = <br /> DESCRIPT <br /> ION OF WORK i`'CYMO VC 'ex l3-t in sh i 2 �OU1 _ —Z^I?,,i I nty,J Mc�� fOd <br /> BUILDING SIZE I SO FOOTAGE C7v HEIGHT <br /> ILDING $ .0(7 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ f o <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `J' (`/`�} <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL FCOMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address /� )) License# <br /> OTHER /%% COMPANY <br /> SIGNATURE REGISTERED Y N I FEECURREN N <br /> 11 �7 <br /> Address ��aSp� t-P T k Oci 'I 1, " License# 9 C' O /10 <br /> .II.Sa-Ia all 1-i.1.saS.litlisIts Iil.i.sl.il'I"I.II.I.ItIII.ItiaaIII.II I.a aI.Saaaa2.IIl1aIIaI <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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,Stornwater 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'dt 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 Attomey(for the owner)would be someone with notarized letterfrom 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 />