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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> SAO akftk_Q�4_kor�m <br /> Date Received Phone Contact for Permitting <br /> Owner's-Name Owner Phone Number <br /> Owner's Address ]vRo?,_ erc)D9-Dy- 7-amp Owner Phone NuMber <br /> Fee Simple Titleholder Name VVII.121— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT#_&1ny-o,, TL1141!C� <br /> pmpnm in441 x 17 <br /> SUBDIVISION F Z5 Z I Otto 01 coci ok (Do <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CON ADDIALT SIGN E::] DEMOLISH <br /> E N,TALLsTRE REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK imliq �awdm -L a4b <br /> BUILDING SIZE' SQ'FOOTAGE HEIGHT <br /> . .. . . . . V . . . . . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> [PLUMBING <br /> 1$ <br /> =MECHANICAL Li t VALUATION OF MECHANICAL iNSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - - -BUILDER - - - - - - - - - - - - <br /> COMPANY <br /> Y/ N FEE CURREN I YIN I <br /> SIGNATURE REGISTERED <br /> Address a ko?_ me.) coni z r License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y7 N <br /> Address 53400 )t Jhhts Ah u '5,,-fond 2 13-1 License 2, C)(�34-J� <br /> PLUMBER COMPANY UJr kll,. P1 b;n. <br /> SIGNATURE REGISTERED Y/ N - '[iEE CURRth L_YLN _J IIJ <br /> Address RZ-11 M140a 336Z Z Licent3e# Fc7__f_-E <br /> MECHANICAL COMPANY <br /> SIGNATURE L REGISTERED N I REE CURREN I—Y7 N I <br /> Address 5,q L) Vv� c-� 1&+ A.tfvu 3q�5 License# 1 CA U.33 " 5 <br /> OTHER COMPANY C_-_D:,0& <br /> SIGNATURE REGISTERED Y/ N I �N <br /> 1q3 <br /> Address F1 fV Nfkjp.1ei&u 3� Licen$e# 5-1CJCC :132 -,833 <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/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 reqq'Irerents 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. (AIC 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 Sewers Service Upgrades A/C Fences(Plot/Suivey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />