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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 6(V_ff)CAV-k0r1W, cor" <br /> �r3 - <br /> Owner's Name Owner Phone Number. <br /> Owner's Addressl 12_(ig02 I ir ro mly 17annoo 3 3� 3� owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> -7 <br /> Fee Simple Titleholder Address <br /> 4 OT# <br /> JOB ADDRESS ny,,Q Ze 33-1-4 101 <br /> SUBDIVISION PARCEL ID#13? 61M a <br /> (OBTAINED FROMPROPERTY TAX NOTICE) <br /> WORK PROPOSED i NEW CONSTR ADD/ALT SIGN E=1 DEMOLISH <br /> INSTALL E REPAIR <br /> PROPOSED USE SFR = COMM u OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK SiIt? nestAim-t- 3- 6 rcl <br /> BUILDING SIZE SQ FOOTAGE�251f HEIGHT <br /> =BUILDING 10 � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> ='MECHANICAL <br /> VALUATION OF MECHANICAL INSTALLATIQN <br /> GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> CON <br /> L <br /> REGISTERED Y/ N FEr_-CURRE� LILN <br /> BUILDER COMPANY <br /> SIGNATURE <br /> Address (oo?_ Te-Ig Czm 2)t, License# Fc!Bcb scrc)�2 <br /> 0, > 5LnAr4 Elec�a- c ELECTRICIAN COMPANY . <br /> -- 7 I <br /> SIGNATURE REGISTERED Y/ N FEE CORREN Y- N <br /> Address 1,3400 3+ s '�v-4J 12-1 License# 0 03-3- <br /> PLUMBER COMPANY <br /> r111 A - 5(h knay-1 <br /> SIGNATURE REGISTERED Y/ N 'REEcukRdi\ I YIN I <br /> Address S3612- L1 cen6 e# C 6(4` <br /> MECHANICAL COMPANY Pr0q",5s*1Qe_ At"r <br /> SIGNATURE REGISTERED N I FEE CURREN -nj/N__J <br /> 5-q07 p)OnI,� ct WpW�&+ J c­� <br /> Address ..!I- -- License# I cA C 6 33 1r74 5 <br /> OTHER COMPANY C HLUMIa PM6 <br /> SIGNATURE REGISTERED Ff:ECURI�Eh 'I Y/ <br /> q -%eS4 <br /> Address P License# 1 C-CC :I 11 S 2 5`2 3 3 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans-,(1)set of Energy Forms;13-0-W Permit fcf new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 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 wl Slit 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - - - - - - - - - - - - - - - - --- - - - - - - - - - - <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/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />