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813-780-0020 City of Zephyrhills Permit Application Fax-81 3-780-0021 <br /> Building Department <br /> Phone Contact for Perimittin <br /> Date Received <br /> ........... EMP3=13=EEEE=..... .... g..� <br /> r <br /> Owner's Name Owner Phone Number cV2 702-2JO <br /> Owner's Address F7o2_ 1 st4 roc o, e,-AdZ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> F �v 2- LOT# C� <br /> SUBDIVISION PARCEL ID#112- 26- 21-0100-000,!)o- 0110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR F__J COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL F_ <br /> DESCRIPTION OF WORK e Qce dd 6r 06 d kJ/ 6 4 I7LI All 1/'1?C I <br /> BUILDING SIZE ?TAG E HEIGHT�?� <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING sPECIALTY,= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES-"-" WO-,"!;, <br /> 2 i 1 <br /> X 7 <br /> BUILDER COMPANY eh't <br /> SIGNATURE REGISTERED. i,'FE&C RRE <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED <br /> REGIS FEE CURREN Y/N <br /> License <br /> censdi <br /> Address <br /> PLUMBER ,COMPANY <br /> 4IGNATURE REGISTERED Y/:N _J`­ FEEPURREN LXLN J <br /> Address '116ense# <br /> MECHANICAL COMPANY <br /> SIGNATURE 'REGISTERED Y-/ N�J FEE CURREN <br /> Address License#.F <br /> OTHER 1COMPANY <br /> �IGNATURE ,REGISTERED _Y/,N_ FEE CURREN <br /> Address -J License# F I <br /> H-i I I I I I I I I I I I 1 0 11 lZI I H I.!I t! H-I 11111111111111111*111111111111 11111111 1111 11.111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2),set&of,Bullding Plans;(I i):set of Energy Forms;R-OW.:P.erm It for new construction, <br /> Minimum ten(10)working days aftersubmittal date. R64uired'onsita;-consitructlon'Plans,Stormwater Planvw/Silt Fence.installed, <br /> Sanitary Facilities&I 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worklng:days.iftersubmittal date., Required onsite,Construction Plans;,-Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit-farI all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans; <br /> ""PROPERTYSURVEY-required for-ail.NEW,construction. <br /> -- ----- ------------­ <br /> --------- ------ <br /> Fill out application completely. <br /> Owner&Contractorsign,back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over s7soo) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone v'vIth 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(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />