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City of Zephyrhills Perrryl`.Application Fax-813-780-0021 <br /> Building Departrnent'•. - <br /> Date Received <br /> Phone Contact for Permitting <br /> I- <br /> -I-rr <br /> Owner's Name �nc Owner Phone Number lctu I <br /> Owner's Addressl a_(ac2,.:Wccclmhr J-hamon 33013r- Owner Phone Number F <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> I V <br /> SUBDIVISION t`Jemcko PARCEL ID#137 ?_I 01ho' 6jSM 0 2--tT) <br /> (OBTAINED FRONT_PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN E=1 DEMOLISH <br /> E� INSTALL REPAIR <br /> PROPOSED USE = . SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK imlig (�wdm re--,-A <br /> BUILDING SIZE SQFOOTAGE�M HEIGHT <br /> Anna .. . . . . . . . . . . . . . . . . <br /> A=BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> �Q\0 0 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIQN 3?;o <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 3 UFLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED FEft CURRES L]L/N <br /> Address License# FcBcb sc%:z <br /> ELECTRICIAN COMPANY , Elm a P Elerfi:i C <br /> SIGNATURE REGISTERED Y/ N I - FEE CORREN I Y7 N <br /> Address r License# I Ec. 0 633:1 S... ..... ...... <br /> PLUMBER COMPANY . 5Chknq-,1 plomb;-I <br /> SIGNATUREr- (A <br /> REGISTERED Y/ N 'R.EECUkR t\ I Yl N <br /> Address 147-11 T( <br /> Licent5e# FE�Z6(4 <br /> MECHANICAL. COMPANY Ike <br /> SIGNATURE 5-q 0 REGISTERED f -f/•N FEE CURREN �N <br /> Address 0 We OrA Llcense# I CA- co 33 5 <br /> OTHER COMPANY Hcoxvm 2061�- <br /> SIGNATURE REGISTERED 0FECURkEK *1 Y/N <br /> Address F714 3 4V Npapab&ui \M�31 License# Ea:l -S-,8 3 3- <br /> 11111111111111111 I 'll 1111111 livill 111111 111 111111 111 111 111111 <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 o-nsite,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 dumoster.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 frorp owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)" <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />