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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Sbe4u&4� at* <br /> Phone Contact fltorPerp�ltting <br /> Ow r S me owner Phone Number <br /> Owner's Name nc- <br /> Own' H <br /> Owner's Address 3S Owner Phone Number <br /> Fee Simple Titleholder Name owner Phone Number <br /> Fee Simple Titleholder Address jj _tom <br /> JOB ADDRESS LOT# <br /> t) (_b(I NLk _ Z1Q)Y0C0W0 MIC) <br /> SUBDIVISION L ID# ?S <br /> - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> ff INSTALL8 REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION E:2- BLOCK 'FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE I_N& HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING <br /> $ VALUATION OF MECHANICAL INSTALLATION <br /> =MECHANIcAL <br /> =GAS F7� ROOFING SPECIALTY == OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER <br /> COMPANY Inc, <br /> REGISTERED <br /> SIGNATURE FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY ec-M e <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address ftly 50(t" 22__h� 1 License# C, o 0sa <br /> PLUMBER COMPANY <br /> M 1I, <br /> SIGNATURE REGISTERED Y1 N I 'FEEICURREN L_fLN _J <br /> Address It,Sib 16 License# <br /> C)�Z <br /> MECHANICAL COMPANY 7;US <br /> SIGNATURE REGISTERED 19/*N FL CURREN V I Y/N <br /> Address License# FCA C_()33' W 9 <br /> OTHER COMPANY NC_'06AQQ 66�0� <br /> SIGNATURE REGISTERED FEE CURREN YIN —1 <br /> Address alv License 0 C(- <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 subdivisionsilarge projects <br /> COMMERCIAL Attkh(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&1 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 /> - - - - - - - - - - - - - - - - - - - - - - - <br /> Directio-ris--_ <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,?Uthorizlng 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 />