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uity of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Ow r, am Owner Phone Number Owner's Name Inc- r <br /> 3S owner Phone Number <br /> Owner's Address T--iAmy <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS -rma(A pani�tz)r ?-Q okw-k-, LOT# <br /> SUBDIVISION �- 4ARCEL ID#135-2-5 Z) irs -b C� 6 act <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT O SIGN Q DEMOLISH <br /> ff INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION E2- BLOCK Q FRAME STEEL. <br /> DESCRIPTION OF WORK W I A� -NU CIO-ncL q--R, z7s <br /> 1i Zaq6HEIGHT <br /> BUILDING SIZE SQ FOOTAGE <br /> =BUILDING $ Ill()15-1.WO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> 1, -4 --0 7o <br /> =MECHANI'CAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F7� ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS qo FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY � Inc. <br /> SIGNATURE 1V0 REGISTERED Y/ N FEE CURREN I Y/N <br /> Address Te�ecnmzr- License# 1 c?'Co's9c)(4, 2 <br /> ELECTRICIAN COMPANY -�4mt,�o (771.ec-Me <br /> SIGNATURE Zr REGISTERED -Y/ N- "I' FEE CURREN L_y L N__J <br /> Address IS 906 Sl-,kbAa &AY Z3� 2 License# [Ec:,h o 0 <br /> PLUMBER D COMPANY <br /> SIGNATURE �S� :I P1 u <br /> REGISTERED Y/ N FEEICURREN -YIN <br /> Address �sto Hcmcko ptw�, v� e 10MNab a License#'FCF—C1`f Z� )3 <br /> MECHANICALy. COMPANY Bir Sus—kk�s <br /> SIGNATURE I I V VN I FL CURREN V I Y/N <br /> Address 1'5'`fO' " JD>Sl\- r 4- LWa 9j,-6-Li :3qL License# ICA US 33 W <br /> RE Y1 N I FEE CURREN Y/N <br /> OTHER COMPANY <br /> SIGNATURE <br /> Address 3q(p License# I cc <br /> t1llliliIllltitllIII11111t11i\ 1IIIIIIIIif111111111111111fitI1111111 <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 Perrrflt 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 Engineer 6d Plans, <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . NUNN ! <br /> Directions: - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,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(PlottSurvey(Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />