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city of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> e Phone Date Received F Permitting <br /> —1—y—r-F I a 1, 1 a 2 2 2 114111-11 -11711 , III <br /> Owner's Name nc- <br /> Owner Phone Number <br /> Owner's Address 3437—Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 9 <br /> JOB ADDRESS LOT <br /> SUBDIVISION (Da iikjR iWi*4 4RCEL ID# 25- IN 0 f q 0- N)i!q 0 0 0'�_S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> Ef, INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER I <br /> TYPE OF CONSTRUCTION E:2— BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> \J <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> 0.( <br /> =PLUMBING $ <br /> =MECHANICAL ' $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS F7� �ROOFING' SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 10 FLOOD ZONE AREA =YES NO <br /> 1111111111116-41-41-464.4- <br /> BUILDER COMPANY • nr- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address -T License# <br /> 1 <br /> ELECTRICIAN COMPANY <br /> �Ao P71ec-414e <br /> SIGNATUREREGISTERED Yl N FEE CURREN Y/N <br /> Address 15k, &la'S- VhAIQ aoW3 License# o bs—+ <br /> PLUMBER COMPANY S it <br /> SIGNATURE REGISTERED Y/ N FEEtURREN 7/N <br /> Address 166)n s4-2 lom i1a a License#1 C-F-n <br /> 0,7 -b�_ - �u <br /> MECHANICAL COMPANY 0( ��P, R%r- s <br /> SIGNATURE REGISTERED YVN I FItECURREN\J I Y/N <br /> Address 4- N)A3 oil-6w -?tx" License# ICA co 33 wq <br /> OTHER COMPANY jr(jck <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN —1 <br /> Address q G�31 License# S3 <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 wl 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 F6im-S.R-O-W`P erm' 'It for new 'construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Pence 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 Engineered PI-ans. <br /> ""PROPERTY SURVEY required for all NEW construction, <br /> . . . v I v v . . . . . . . . . . . . . . . . . . . . . . . . . <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 owner authorizing same_ <br /> OVERTHE 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 _2 <br />