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CityV 44- 17-5813-780-0020 of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved 24?Z2-VZ-ZJ J Phone Contact for Permittino <br /> ­L E ) - <br /> LAAAAAJJ4" ..............=3 <br /> Owner's Name Owner Phone Number <br /> J< Z- try - <br /> Owner's Address 4 0 7 <br /> Owner Phone Number 3 S-Z, <br /> Fee Simple Titleholder Name Owner Phone Number 135 ofo - <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 16/9tf ),771% M.' 33-pq? LOT# <br /> SUBDIVISION PARCEL 113#104-7-4,4 �V-00000-Q 7-10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR V1 ADD/ALT _SIGN Q 0 DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK TY%S4A ( I!i"J Fe it PW 7f, leer <br /> Aore U&�, <br /> BUILDING SIZE E ISQ FOOTAGE HEIGHT 1 <br /> ='BUILDING 1$ 01) VALUATION OF TOTAL CONSTRUCTION <br /> 1)V0 <br /> r-!ELECTRICAL AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> .....................A...... <br /> -BUILDER COMPANY <br /> SIGNATURE An4&Im- REGISTERED I Y1IT­lr.. !---FEECURFE1, <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURk REGISTERED YI N FEE CURREN <br /> Address Li cense�,* <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE,CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN* <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N. 1 FEE CURREN 7Y!N <br /> Address License# F— <br /> IIIIIIIIHIIIIHIft <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.'Stormwater Plans'.w/Silt Fence installed, <br /> Sanitary Facilities&I 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 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.""PROPERTY,SURVEY required for all NEW,construction. <br /> .......... ........ <br /> 'birectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign,back of aliplicatidn,notarized <br /> If over$2500,a Notice of Commencement 16 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 6f contract required) <br /> Reroofs if shingles Sbwers-.­,. ,Servioe.UpgradqsAIC.,,__,.Eqnces(PlottSurvey/Footage) <br /> "I <br /> Drivewayi-Not over Counter If9iii pq""bii"c,roadWpyp:'n <br /> 1 ­,, . e0di'ROW <br />