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City of Zephyrhills Permit Application Fax-813-780-ob21 <br /> Building Department <br /> Date Received, 1(als"D ecxueh alw-CCAW-korfm, ctmn <br /> Phone Contact for Permitting <br /> 7. ]Owner's Name Owner Phone Number <br /> Owner's Address1 ]7.(42r)?1:T�:,J C ro nnlyl i MT 3�L Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F��(o Lid 101, \1) 0;yJ:_DQ 2all2but I let- 'ns-41 LOT# <br /> SUBDIVISION PARCEL ID# 7_';7-7_1- 0(90 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R A6D/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> _Q)DESCRIPTION OF WORK FN e "i Z- <br /> BUILDING SIZE F SQ FOOTAGE Sql HEIGHT F <br /> nrr-sIZZ . . . . . . . . . . . . . . . . . . . <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL ' $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> • . . . .. . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 7 - - - - - - - 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----- - <br /> BUILDER COMPANY ■ <br /> SIGNATURE <br /> REGISTERED I Y/ N I FEt CURRES I Y/N I <br /> Address (00z` It COM- License# lcuab <br /> ELECTRICIAN COMPANY arA Elerf)2-t C <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 _Y7N I <br /> Address j6hins Nu Zor License# ILE 0 <br /> 03� <br /> PLUMBER cc <br /> — <br /> MPANY lj <br /> PLUM REGISTERED Y/ N 'FEE CLARtN Yl N <br /> SIGNATURE <br /> Address 147-13 TOW --S362s License# IC P C 6 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN _ff y N_J <br /> 0 7 hc <br /> Address n C� Wew Tr, License# co 33 (4 <br /> 5-q 6,r <br /> OTHER <br /> COMPANY rV <br /> SIGNATURE <br /> REGISTERED Y/ N I' FEE CURREN I Y/N <br /> Address J 3 License# 572 3 3 <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 Pla-ns,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for su6dIvIsions/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 construction. <br /> -Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&I 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 author!zI'n <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> -*......... <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/FVge) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />