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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> rrrm rrrrrrrrrrrrrrrrrrrrm ------ :1 Phone Contact for Permiffing..L I Irn <br /> -fl-r-e- LR-1 e V(1 !�; 1 0 <br /> Owner's Name Owner Phone Number F13 7,92' -ZV7 <br /> Owner's Addressl 6-72T:bcidoo S-1 Owner Phone Number . <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> r—, <br /> JOB ADDRESS (lYA e�- LOT# <br /> SUBDIVISION PARCEL ID# Ie)_2_6-21-0W0-00100-0(D00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFIR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK pv� P(76,;� 44 2,70 <br /> BUILDING SIZE 1— 7. <br /> SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO, <br /> ............ <br /> BUILDER OF e�4A� COMPANY <br /> .) CURREN SIGNATURE REGISTERED I Y 1,,N, J _L1,/N J <br /> Address License# FT U <br /> ELECTRICIAN COMPANY <br /> SIGNATURk REGISTERED FEE CURREN L11N J <br /> Address Lfcense# <br /> PLUMBER COMPANY, <br /> 'SIGNATURE REGISTERED _Y N' FtECURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 'L_XLN <br /> Address License# <br /> qTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> HHHHH <br /> RESIDENTIAL Attach'(2)F L lot Plans;(2)sets..of Building Plans;(1)set of Energy Forms;R-O-W Permit-for new construction, <br /> Minimum ten'(1 0)working days after Submittal date. 'Required onsite,*Construction Plans,Stormwater Plans w/Slit 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/Slit 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 authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sbwers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />