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Uity of Zephyrhills Permit Application Fax 813-780-002i <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> I A A A a A I A A I A I I I I I <br /> Owner's NameOwner Phone Number 9 <br /> Inc- 5�j <br /> Owner's Address mooi,_* Amm 7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# I SIR <br /> SUBDIVISION � L ID#04ARCE 2!5_ 21 (-_JV0 - - - - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION E:2- BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE ��'�1 SQ FOOTAGE HEIGHT <br /> =BUILDING $ O o o VALUATION OF TOTAL CONSTRUCTION <br /> I'll I"L\L <br /> =ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> [PLUMBING <br /> I-�.' . Z 0 <br /> =MECHANI'CAL ' $ VALUATION OF MECHANICAL INSTALLATION <br /> c) <br /> GAS ROOFING Q SPECIALTY OTHER /7 <br /> FINISHED FLOOR ELEVATIONS 'Ic' FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY r\r- <br /> SIGNATURE jj REGISTERED FEE CURREN I Y/N <br /> Address License# 1 rReo';9C,�'a <br /> ELECTRICIAN COMPANY rn (714PC��'e <br /> SIGNATURE REGISTERED Y1 N I FEE CURREN I Y/N I <br /> Address 54-14ft'S_ ftAIW 561W3 License# o o <br /> PLUMBER COMPANY lk8ftest:: R I W1 t t,(\_9' <br /> SIGNATURE REGISTERED Y/ N 'FEETCURRErs -YIN I <br /> Address F(, q-'t /Om 46 License#'I <br /> MECHANICAL <br /> COMPANY i r- <br /> SIGNATURE REGISTERED V/'N FEE CURREN\J <br /> Address 1-5'` () DxS , C4- Nk�Li&6J4 License# Z US 33 W 9 <br /> OTHER COMPANY &-nck <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> i License# Edcl Ez-K <br /> III III Oil 111"011 111 111 111111 111 111 111 111111111 11111 <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 Fo-r-m- s.R-O_W' Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl qlIt Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requlrbments•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.owne <br /> r <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways <br /> -Not over Counter if on public roadways..needs ROW <br />