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�'/f! 1113-7110-00211 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Z-4 l A t Building Department <br /> 7 q tJ S512 ,Date Received 2jf phone Contact for Permitting — ,I <br /> arrrar.a as rraarrrr <br /> Owners Name � C e. l� Owner Phone Number 3- ✓g ZSg <br /> i Owner's Address V _J-�A A Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address JOB ADDRESS 38DI-9 1-7-1-1" A,-e— zf JA r J3— - LOT# <br /> SUBDIVISION I PARCELID# I'Z(p ZI` COI O&OD ` Ott <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR 8 ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME Jam= STEEL = <br /> DESCRIPTION OF WORK TitiS�(� i a7ft Q y, v— ey r ri mS t c L to a ,Lf_1s <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> s"cLX_XtC iL`C<";iCSCi;ircCcTC;;Cs-csSC-S";"CCZCZCC<Z"LSCAX-cluluL-WZAiCt-"RtLC CAL=-r <br /> EUILDING $ D VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q 1 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ � Ae ®� 0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION d i <br /> rp tans <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY d S►�l II /r[jf{ <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address S1 /_ �l eer W ctl tr 33 7�.+5 License# C G-L/- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN' Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> NEI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-OW 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 subdivisions/large 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,Stormwater 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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(AIC 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 />