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°813-780-0020 <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 1 <br /> Date Received phone Contact focPermitting <br /> �Iwnee- <br /> [H[IH Name t7sCh- Owner Phone Number <br /> Owner's Address ( 3 51 11 4- - Owner Phone Number <br /> ,^, <br /> Fee Simple Titleholder Name I V Owner Phone Number <br /> Fes Simple Titleholder Address 2 <br /> JOB ADDRESS S3 W v :�� LOT# {�J <br /> SUBDIVISION ck � PARCEL ID# " S-Z7�+'Z k Qb.SIR" tOO(3pO- 1OS O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSrR B ADD/ALT = SIGN _ DEMOLISH <br /> INSTALL REPAIR. <br /> PROPOSED USE •= SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION O\_' BLOCK FRAME = STEEL <br /> � <br /> DESCRIPTION OF WORK rJ y I�` ��A`�V J INS'tw�vt <br /> BUILDING SIZE SQ FOOTAGE 5y - HEIGHT <br /> -s-c c_cc rc-c rc+c rrc rz c rr'c's cc rc'r srrc rc cT e�cr�z=cre� <br /> =BUILDING $ �,-,��\ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL" $ / AMP'SERVICE _ PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ . <br /> =MECHANICAL $ I VALUATION OF MECHANICAL INSTALL-ATION �1 <br /> =GAS Q ROOFING E 'SPECIALTY = OTHER I! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA . =YES NO <br /> BUILDER ( �=---� - COMPANY <br /> SIGNATURE .,�REGISTEREDn Y/N FEE CURREN <br /> Address 330 S. aM Ir//yJV 3 LI "License# <br /> ELECTRICIAN _ COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE. REGISTERED - Y/N .-FEE CURREN ,Y/N ' <br /> Address ;License It <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN. <br /> Address -License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> If IIIIIIii ittIIiIIYi Il[ iI[Iii[■Li H[I IIII[IIIYY[ti 1[I II i[[I II■[.t a I II II <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of BUllding 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,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />